Individual
CARLO GABRIEL AVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1337 S INTERNATIONAL PKWY STE 1321, LAKE MARY, FL 32746-1402
(407) 833-0802
Mailing address
336 BROAD ST STE 203, ROME, GA 30161-3006
(407) 833-0802
(407) 833-8931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36599
FL
Other
Enumeration date
11/18/2020
Last updated
11/24/2020
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