MEDICARE: ROYAL PALM BEACH REHAB, CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1164173522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL PALM BEACH REHAB, CORP.

Provider Business Mailing Address
First Line	:	4971 LE CHALET BLVD STE 100
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1418
Country	:	US
Telephone Number	:	561-733-5590
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N US HIGHWAY 1 UNIT 606A
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-3072
Country	:	US
Telephone Number	:	772-276-7286
Fax Number	:	772-276-7290

Authorized Official
Title or Position	:	CREDENTIALING DIRECTOR
Name	:	JORGE GARCIA
Credential	:
Telephone Number	:	561-537-4526

Provider Enumeration Date	:	01/17/2022
Last Update Date	:	03/11/2026

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