Healthcare Provider Details

I. General information

NPI: 1679281141
Provider Name (Legal Business Name): ERIC J BEHRMANN DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 NW 71ST CT
TAMARAC FL
33321-2973
US

IV. Provider business mailing address

100 NW 6TH ST APT 1802
MIAMI FL
33136-4133
US

V. Phone/Fax

Practice location:
  • Phone: 954-758-8725
  • Fax:
Mailing address:
  • Phone: 717-880-0440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT37207
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: