Jaesen Petretta Inc

LBN: Jaesen Petretta Inc
Jaesen Petretta Inc is an health care organization with primary practice located at 12995 S Cleveland Ave Ste 158 , Fort Myers FL 33907-3867. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Jaesen Petretta Inc can be contacted via phone (239) 839-3408, or through Petretta, Jaesen via phone (239) 839-3408.

Contact Information

Primary practice address
12995 S Cleveland Ave Ste 158 Fort Myers FL 33907-3867
Phone: (239) 839-3408
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petretta, Jaesen OTR/L
Phone: (239) 839-3408

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X OT10199 Florida

Profile Details

NPI number 1487094983
LBN Legal business name Jaesen Petretta Inc
DBA Doing business as
Authorized official Petretta, Jaesen OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2013
Last updated Jun 28th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers