Provider Demographics
NPI:1962021345
Name:ARAUJO, RENATO V (DPT, MBA, CWS)
Entity Type:Individual
Prefix:DR
First Name:RENATO
Middle Name:V
Last Name:ARAUJO
Suffix:
Gender:M
Credentials:DPT, MBA, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 NESTLEWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-8006
Mailing Address - Country:US
Mailing Address - Phone:407-276-4827
Mailing Address - Fax:
Practice Address - Street 1:1537 NESTLEWOOD TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8006
Practice Address - Country:US
Practice Address - Phone:407-276-4827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11256225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist