Petrilla, Fred J

Petrilla, Fred J is an sole proprietor health care provider with primary practice located at 1903 25Th St , Vero Beach FL 32960-3366. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Petrilla, Fred J can be contacted via phone (772) 562-0777.

Contact Information

Primary practice address
1903 25Th St Vero Beach FL 32960-3366
Phone: (772) 562-0777
Fax: (772) 770-3285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0002507 Florida
Behavioral Health & Social Service Providers / School 103TS0200X SS33 Florida

Profile Details

NPI number 1881671386
LBN Legal business name Petrilla, Fred J
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Dec 8th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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