Provider Demographics
NPI:1306096011
Name:LORENZO ACUTIN, CARLOS I (PTA, LMT)
Entity type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:
Last Name:LORENZO ACUTIN
Suffix:I
Gender:M
Credentials:PTA, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-3049
Mailing Address - Country:US
Mailing Address - Phone:786-270-6853
Mailing Address - Fax:941-921-0043
Practice Address - Street 1:1537 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-3049
Practice Address - Country:US
Practice Address - Phone:941-310-4155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA46357225700000X
FLPTA25419225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013892400Medicaid