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NPI Code Detail

MEDICARE: MR. CARLOS LORENZO ACUTIN I PTA, LMT

MEDICARE:  MR. CARLOS  LORENZO ACUTIN I PTA, LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA46357FL
2225200000XPhysical Therapy AssistantPTA25419FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306096011
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARLOS LORENZO ACUTIN I PTA, LMT
Provider Business Mailing Address
First Line : 1537 OAK PARK AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34237-3049
Country : US
Telephone Number : 786-270-6853
Fax Number : 941-921-0043
Provider Business Practice Location Address
First Line : 1537 OAK PARK AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34237-3049
Country : US
Telephone Number : 941-310-4155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2008
Last Update Date : 04/21/2025

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Directions to “ MR. CARLOS LORENZO ACUTIN I PTA, LMT” Practice Location

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