Healthcare Provider Details

I. General information

NPI: 1982206314
Provider Name (Legal Business Name): DAVID FIGURA PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7667 VICTORY LN
DELRAY BEACH FL
33446-3155
US

IV. Provider business mailing address

8380 EMERALD WINDS CIR
BOYNTON BEACH FL
33473-7840
US

V. Phone/Fax

Practice location:
  • Phone: 561-498-3606
  • Fax:
Mailing address:
  • Phone: 571-643-5239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number26930
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: