Individual
BRANDON FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1285 CREEKSIDE BLVD E, NAPLES, FL 34109-0590
(803) 269-2798
Mailing address
9033 MADRID CIR, NAPLES, FL 34104-6228
(803) 269-2798
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA28862
FL
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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