Provider Demographics
NPI:1770771149
Name:BENOZA, DELGADO FRANCISCO (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:DELGADO
Middle Name:FRANCISCO
Last Name:BENOZA
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Mailing Address - Street 1:PO BOX 635073
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:800-820-6521
Mailing Address - Fax:513-742-0943
Practice Address - Street 1:1100 S MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-4910
Practice Address - Country:US
Practice Address - Phone:561-996-8086
Practice Address - Fax:561-996-2905
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT16986225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist