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NPI Code Detail

MEDICARE: MR. GARY MICHAEL KOT CPHT

MEDICARE:  MR. GARY MICHAEL KOT  CPHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy Technician360101060743206FL

General Provider Information

NPI Number : 1952574071
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY MICHAEL KOT CPHT
Provider Business Mailing Address
First Line : 5485 W ATLANTIC BLVD
Second Line :
City : MARGATE
State : FL
Zip : 33063-5210
Country : US
Telephone Number : 954-977-0494
Fax Number : 954-977-4494
Provider Business Practice Location Address
First Line : 777 GLADES RD # SS 8W240
Second Line :
City : BOCA RATON
State : FL
Zip : 33431-6496
Country : US
Telephone Number : 561-297-3512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2008
Last Update Date : 10/10/2023

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Directions to “ MR. GARY MICHAEL KOT CPHT” Practice Location

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