Individual
RANDLE JORDAN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
602 PINE RANCH EAST RD, OSPREY, FL 34229-8974
(941) 330-4618
Mailing address
602 PINE RANCH EAST RD, OSPREY, FL 34229-8974
(941) 330-4618
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54066
CA
225200000X
Physical Therapy Assistant
PTA32420
FL
Other
Enumeration date
06/12/2025
Last updated
06/19/2025
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