MEDICARE: REBELLO MEDICAL ASSOCIATES MD PL

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	207R00000X	Internal Medicine Physician		FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700859048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBELLO MEDICAL ASSOCIATES MD PL

Provider Business Mailing Address
First Line	:	13590 S JOG RD STE C3
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3807
Country	:	US
Telephone Number	:	561-637-8383
Fax Number	:	561-423-9253

Provider Business Practice Location Address
First Line	:	13590 JOG RD
Second Line	:	SUITE C3
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3807
Country	:	US
Telephone Number	:	561-637-8383
Fax Number	:	561-423-9253

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. BRIAN IGNATIUS REBELLO
Credential	:	M.D.
Telephone Number	:	561-637-8383

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	01/09/2023

Similar Medicare Providers

1497728877 — DR. BRIAN IGNATIUS REBELLO M.D.
Practice Location Address:

13590 JOG RD , SUITE C3
DELRAY BEACH, FL
33446-3807

Practice Phone: 561-637-8383
Practice Fax: 561-637-8355

1902879950 — DR. VERNON REBELLO M.D.
Practice Location Address:

13590 JOG RD , SUITE C3
DELRAY BEACH, FL
33446-3807

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1093783086 — DR. MARC DAVID GOLDEN D.O.
Practice Location Address:

13590 JOG RD , SUITE 7
DELRAY BEACH, FL
33446-3807

Practice Phone: 561-637-4200
Practice Fax: 561-637-3222

1104882240 — DR. RONALD L COHEN M.D.
Practice Location Address:

13590 S JOG RD , STE 2
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1245297027 — UROLOGY CONSULTANTS OF SOUTH PALM
Practice Location Address:

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1548228729 — DR. BRUCE WILLIAM ZUKERBERG M.D
Practice Location Address:

13590 JOG RD , STE 4-5
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33446-3807

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Practice Fax:

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