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JAESEN PETRETTA INC
NPI 1487094983
Clinic/Center - Rehabilitation in Fort Myers, FL

Active since June 28, 2013
12995 S CLEVELAND AVE STE 158, FORT MYERS, FL 33907(239) 839-3408 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaesen Petretta Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAESEN PETRETTA INC (NPI 1487094983) is a healthcare organization registered as a rehabilitation in Fort Myers, Florida and active in the NPI registry since June 2013. The organization lists Jaesen Petretta, President, as its authorized official.

NPPES Registry Identity

NPI1487094983
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameJAESEN PETRETTA INC
Location Address12995 S CLEVELAND AVE STE 158Fort Myers, FL 33907-3867
Mailing Address4281 7th Ave SwNaples, FL 34119-4029
Phone(239) 839-3408
Organization SubpartNo
Authorized OfficialJaesen PetrettaPresident · (239) 839-3408
Enumeration DateJune 28, 2013
✔ NPI 1487094983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in FL · OT10199
12995 S CLEVELAND AVE STE 158, Fort Myers, FL 33907
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaesen Petretta Inc's NPI number?

The NPI number for Jaesen Petretta Inc is 1487094983. It was assigned to this organization in the NPPES registry on June 28, 2013.

Where is Jaesen Petretta Inc located?

Jaesen Petretta Inc is located at 12995 S Cleveland Ave Ste 158, Fort Myers, FL 33907. The listed phone number is (239) 839-3408.

What is Jaesen Petretta Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Jaesen Petretta Inc was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.