Benedict Inlayo Florentin, RPT
Individual provider Active NPI Physical Therapist · Bonifay, FL
NPI 1508201435 · NPPES record last updated Feb 24, 2014
Key facts
- NPI
- 1508201435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 27336 (FL)
- Practice address
- 503 W Montana Ave
Bonifay, FL 32425-1515 - Phone
- (646) 399-5272
- NPI assigned
- May 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 27336 | FL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 27336 | FL | Yes |
Addresses
Primary practice location
503 W Montana Ave
Bonifay, FL 32425-1515
Mailing address
503 W Montana Ave
Bonifay, FL 32425-1515
Phone (646) 399-5272
Other providers in Bonifay, FL
- Dwight Counseling Service
- Lolita Ellis
- Family Dentistry of Bonifay
- Beverly Fendley
- Kelsey Danae Fentress
- Florida Department of Health
- Foot First Podiatry
- Kelvin Devane Gipson
- Visit Supanich Giri
- H & H Non Emergency Transportation Inc.
All providers in Bonifay, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.