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Marco Klovanish, COTA
Student in an Organized Health Care Education/Training Program in Lady Lake, Florida
NPI 1861818882

Marco Klovanish is a Student in an Organized Health Care Education/Training Program based in Lady Lake, FL. Marco Klovanish practices in Lady Lake, FL and has the professional credentials of COTA. The NPI Number for Marco Klovanish is 1861818882 and holds a License No. OTA1124 (Florida).

The current practice location address for Marco Klovanish is 824 Highway 466, Lady Lake, FL and can be reached out via phone at 352-573-0136.

Location: 824 Highway 466, Lady Lake, FL, 32159-4252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861818882
Provider Name
Marco Klovanish
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
824 Highway 466, Lady Lake, FL, 32159-4252
Phone Number
352-573-0136
Fax Number
Provider Enumeration Date
03/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
824 Highway 466
City
Lady Lake
State
Florida
Zip
32159-4252
Phone Number
352-573-0136
Fax Number
person
Provider Business Mailing Address Details
Address
824 Highway 466
City
Lady Lake
State
Florida
Zip
32159-4252
Phone Number
352-573-0136
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OTA1124 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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