Healthcare Provider Details

I. General information

NPI: 1689935892
Provider Name (Legal Business Name): YOUFIRST SOUTH FLORIDA PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2012
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 ALBATROSS RD N 4C
DELRAY BEACH FL
33444-3207
US

IV. Provider business mailing address

2645 ALBATROSS RD N 4C
DELRAY BEACH FL
33444-3207
US

V. Phone/Fax

Practice location:
  • Phone: 954-655-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number19671
License Number StateFL

VIII. Authorized Official

Name: JOHN DOMINICK BENEVENTO
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 315-436-2163