Individual provider · Type 1 NPI

Nicole Marie Klopotek, CST-CERT SURG TECH

Non-emergency Medical Transport (VAN) · Jacksonville, FL

NPI number 1790493344 Active

Practice location

8681 A C Skinner Pkwy Apt 634
Jacksonville, FL 32256-0846

Call (904) 522-4144 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Technologist 246ZS0410X148606 (FL)
Non-emergency Medical Transport (VAN) Primary 343900000XNone listed

Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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About NPI 1790493344

Nicole Marie Klopotek, CST-CERT SURG TECH's National Provider Identifier is 1790493344, issued on Nov 14, 2022. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 14, 2022.