IndividualActive
Juan Fontanez
NPI 1962129395 · Rehabilitation Practitioner · Kissimmee, FL
Provider details
- NPI number
- 1962129395
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2005 Grande Ct Apt 902
Kissimmee, FL 34743-3130
Phone: (939) 313-8920
Approximate (ZIP-level) locationGet directions
Mailing address
Preservers of Destinies
Kissimmee, FL 34744
Registry dates
- Enumerated
- 2022-10-26
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.