Individual
MR. CARLO T PENARANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6150 DIAMOND CENTRE CT, SUITE 100, FORT MYERS, FL 33912-4365
(239) 768-6396
(239) 763-1676
Mailing address
12090 METRO PKWY, FORT MYERS, FL 33966-8365
(239) 768-6396
(239) 768-1676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4617
FL
Other
Enumeration date
03/24/2009
Last updated
05/30/2012
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