Provider Demographics
NPI:1598149072
Name:VOTTA, KEVIN CHRISTOPHER (CPT, MATCS)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:CHRISTOPHER
Last Name:VOTTA
Suffix:
Gender:M
Credentials:CPT, MATCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8721 GUNN HWY
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-3210
Mailing Address - Country:US
Mailing Address - Phone:813-406-0827
Mailing Address - Fax:
Practice Address - Street 1:13825 ICOT BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3712
Practice Address - Country:US
Practice Address - Phone:813-406-0827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist