Provider Demographics
NPI:1518545938
Name:APARCANA, YEFRI ALEXANDER SR (PTA)
Entity Type:Individual
Prefix:MR
First Name:YEFRI
Middle Name:ALEXANDER
Last Name:APARCANA
Suffix:SR
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 N NEW RIVER DR E APT 2060NA
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1066
Mailing Address - Country:US
Mailing Address - Phone:305-316-8699
Mailing Address - Fax:
Practice Address - Street 1:215 N NEW RIVER DR E APT 2060NA
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1066
Practice Address - Country:US
Practice Address - Phone:305-316-8699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28746208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation