Healthcare Provider Details

I. General information

NPI: 1275406258
Provider Name (Legal Business Name): MQV PROFESSIONAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S FEDERAL HWY STE 460
POMPANO BEACH FL
33062-7525
US

IV. Provider business mailing address

1600 S FEDERAL HWY STE 460
POMPANO BEACH FL
33062-7525
US

V. Phone/Fax

Practice location:
  • Phone: 954-225-0199
  • Fax:
Mailing address:
  • Phone: 954-225-0199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YORDAN SENAN BENITEZ
Title or Position: OWNER
Credential:
Phone: 954-225-0199