Provider Demographics
NPI:1013423037
Name:HOVIS, DARIN (ATC)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:
Last Name:HOVIS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10803 ALVARA WAY
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-5390
Mailing Address - Country:US
Mailing Address - Phone:724-301-4285
Mailing Address - Fax:
Practice Address - Street 1:16000 OLD 41 N UNIT 207
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-8495
Practice Address - Country:US
Practice Address - Phone:724-301-4285
Practice Address - Fax:724-301-4285
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL37322255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer