Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaesen Petretta Inc

Organization Rehabilitation Clinic/Center · NPI 1487094983

Jaesen Petretta Inc is a Rehabilitation Clinic/Center in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12995 S Cleveland Ave Ste 158
Fort Myers, FL 33907-3867
Phone: (239) 839-3408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X · Licence OT10199 (FL)

Record details

NPI number1487094983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaesen Petretta — President · (239) 839-3408
NPI enumeratedJune 28, 2013
Last updated in NPPESJune 28, 2013
Mailing address4281 7th Ave Sw, Naples, FL 34119-4029

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