Individual
DYLAN MARK VAN BENTHUYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4550
Mailing address
730 NW 96TH TER, PEMBROKE PINES, FL 33024-6235
(954) 881-1772
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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