Benevento, John Dominick
Benevento, John Dominick is an individual health care provider with primary practice located at 2825 N State Road 7 Ste 204 , Margate FL 33063-5737. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Benevento, John Dominick can be contacted via phone (954) 451-3002.Contact Information
Primary practice address
2825 N State Road 7 Ste 204
Margate FL 33063-5737
Phone: (954) 451-3002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 25858 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X |
Profile Details
| NPI number | 1932401759 |
|---|---|
| LBN Legal business name | Benevento, John Dominick |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2010 |
| Last updated | Feb 13th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932401759 | NPPES |
| Florida | MEDICAID | 016620700 |
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