JAESEN PETRETTA INC (NPI# 1487094983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487094983 |
| Entity Type | Organization |
| Organization Name | JAESEN PETRETTA INC |
| Practice Address |
12995 S Cleveland Ave Ste 158 Fort Myers FL 33907-3867 |
| Mailing Address |
4281 7th Ave Sw Naples FL 34119-4029 |
| Practice Telephone | 2398393408 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |
| Authorized Official Name | JAESEN PETRETTA (PRESIDENT) |
| Authorized Official Telephone | 2398393408 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OT10199 | FL | Ambulatory Health Care Facilities |
| Street Address |
12995 S CLEVELAND AVE STE 158 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346876 | Solaris Rehab, LLC | Clinic/Center | 18301 Trifecta Ln, Fort Myers, FL 33967-3032 | 2020-01-30 |
| 1134696388 | Solaris Rehab, LLC | Clinic/Center | 7650 Gladiolus Dr, Fort Myers, FL 33908-5493 | 2018-10-25 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1427575273 | Cora Health Services Inc | Clinic/Center | 19100 S Tamiami Trl Ste 4, Fort Myers, FL 33908-1011 | 2017-08-23 |
| 1013446178 | Solaris Rehab, LLC | Clinic/Center | 2500 Edwards Dr, Fort Myers, FL 33901-2862 | 2017-06-12 |
| 1669901724 | Solaris Rehab, LLC | Clinic/Center | 15800 Beach Walk Blvd, Fort Myers, FL 33908-3388 | 2017-06-12 |
| 1023547189 | Solaris Rehab, LLC | Clinic/Center | 13720 6 Mile Cypress Pkwy Ste 2, Fort Myers, FL 33912-4425 | 2017-06-12 |
| 1073945309 | Solaris Rehab, LLC | Clinic/Center | 2619 Forum Blvd, Fort Myers, FL 33905-5604 | 2013-08-09 |
| 1093944985 | Evans Chiropractic LLC | Clinic/Center | 3632 Evans Ave, Fort Myers, FL 33901-8314 | 2009-07-13 |
| 1861696627 | Therapy First LLC | Clinic/Center | 36 Barkley Cir, Fort Myers, FL 33907-4520 | 2007-06-13 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on JAESEN PETRETTA INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.