Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Nicole Marie Klopotek, CST-CERTSURGTECH

Individual provider Surgical Technologist · NPI 1790493344

Miss. Nicole Marie Klopotek, CST-CERTSURGTECH is a Surgical Technologist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

8681 A C Skinner Pkwy Apt 634
Jacksonville, FL 32256-0846
Phone: (904) 522-4144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X
Surgical Technologist Taxonomy 246ZS0410X · Licence 148606 (FL)

Record details

NPI number1790493344
Entity typeIndividual (Type 1)
GenderFemale
Credentials CST-CERTSURGTECH
Sole proprietorYes
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 13, 2022

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