Healthcare Provider Details

I. General information

NPI: 1033720354
Provider Name (Legal Business Name): ADVANCE CARE PHYSICAL THERAPY PC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5210 LINTON BLVD STE 104
DELRAY BEACH FL
33484-6537
US

IV. Provider business mailing address

9559 BARLETTA WINDS PT
DELRAY BEACH FL
33446-9712
US

V. Phone/Fax

Practice location:
  • Phone: 347-255-8255
  • Fax: 561-708-5124
Mailing address:
  • Phone: 347-255-8255
  • Fax: 561-708-5124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RAFAEL MASTOV
Title or Position: PRESIDENT
Credential: DPT
Phone: 954-800-5592