MEDICARE: RECH CLINIC LLC

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	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518543776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECH CLINIC LLC

Provider Business Mailing Address
First Line	:	6367 TRAILS OF FOXFORD CT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5133
Country	:	US
Telephone Number	:	561-541-0326
Fax Number	:

Provider Business Practice Location Address
First Line	:	6367 TRAILS OF FOXFORD CT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5133
Country	:	US
Telephone Number	:	561-541-0326
Fax Number	:

Authorized Official
Title or Position	:	APRN
Name	:	CARLOS REYES CHOUZA
Credential	:	APRN
Telephone Number	:	561-541-0326

Provider Enumeration Date	:	03/18/2021
Last Update Date	:	03/28/2022

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Directions to “RECH CLINIC LLC ” Practice Location

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