| Doctor Name: | MR. CARLO T PENARANDA |
| NPI Number: | 1699917542 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT4617 |
| Business Practice Address: | 6150 Diamond Centre Ct Suite 100 Fort Myers, FL - 339124365 |
| Business Phone Number: | 2397686396 |
| Business Fax Number: | 2397631676 |
| Mailing Address: | 12090 Metro Pkwy, FORT MYERS |
| State: | FL |
| Postal Code: | 339668365 |
| Phone Number: | 2397686396 |
| Fax Number: | 2397681676 |
| NPI Enumeration Date: | 03/24/2009 |
| NPI Last Update Date: | 05/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT4617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |