Provider Demographics
NPI:1942347521
Name:RENNA, FELVINA GARCIA (PT)
Entity Type:Individual
Prefix:MS
First Name:FELVINA
Middle Name:GARCIA
Last Name:RENNA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 BELLEZZA TER
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4316
Mailing Address - Country:US
Mailing Address - Phone:561-632-0926
Mailing Address - Fax:561-952-4665
Practice Address - Street 1:152 BELLEZZA TER
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4316
Practice Address - Country:US
Practice Address - Phone:561-632-0926
Practice Address - Fax:561-952-4665
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE6995AMedicare PIN