Fred Petrilla, PHD

NPI 1881671386 · on the registry since 2005 · sole proprietor

Practice

Address: 1903 25th St
Vero Beach, FL 32960
Phone: (772) 562-0777
Fax: (772) 770-3285
Organisation at this address: Fred J Petrilla Jr Phd & Associates Pa
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103TS0200X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida