Individual
KEITH FENDELANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
(941) 347-6455
Mailing address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
(941) 347-6455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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