MEDICARE: JUAN RAFAEL AVELINO P.T.

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
1	225100000X	Physical Therapist	PT11283	FL

General Provider Information

NPI Number	:	1336410976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN RAFAEL AVELINO P.T.

Provider Business Mailing Address
First Line	:	110 CELEBRATION BLVD
Second Line	:
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4641 OLD CANOE CREEK RD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-1550
Country	:	US
Telephone Number	:	407-892-7344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2012
Last Update Date	:	01/12/2012

Similar Medicare Providers

1790731594 — PLANTATION BAY HEALTH CARE ASSOCIATES LLC
Practice Location Address:

4641 OLD CANOE CREEK RD
SAINT CLOUD, FL
34769-1550

Practice Phone: 407-892-7344
Practice Fax: 407-892-5244

1124322193 — DR. AGUSTIN VEGA SANTIAGO M.D.
Practice Location Address:

4691 OLD CANOE CREEK RD
SAINT CLOUD, FL
34769-1550

Practice Phone: 407-498-4015
Practice Fax:

1528337276 — 4641 OLD CANOE CREEK ROAD OPERATIONS LLC
Practice Location Address:

4641 OLD CANOE CREEK RD
SAINT CLOUD, FL
34769-1550

Practice Phone: 407-892-7344
Practice Fax: 407-892-5244

1144591454 — CLIFFORD EXANTUS PT
Practice Location Address:

4641 OLD CANOE CREEK RD
SAINT CLOUD, FL
34769-1550

Practice Phone: 407-892-7334
Practice Fax:

1235400581 — JESSICA ERIN FOOR P.T.A.
Practice Location Address:

4641 OLD CANOE CREEK RD
SAINT CLOUD, FL
34769-1550

Practice Phone: 407-892-7344
Practice Fax:

1558633149 — MRS. BROOKE LEANN ALONSO M.A., CCC-SLP
Practice Location Address:

4641 OLD CANOE CREEK ROAD
SAINT CLOUD, FL
34769-1550

Practice Phone: 407-892-7344
Practice Fax:

Directions to “ JUAN RAFAEL AVELINO P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.