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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1720507072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL PALM BEACH REHAB CORP

Provider Business Mailing Address
First Line	:	6415 LAKE WORTH RD STE 302
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-2906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	580 VILLAGE BLVD STE 215
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1951
Country	:	US
Telephone Number	:	561-570-2501
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING DIRECTOR
Name	:	JORGE GARCIA
Credential	:
Telephone Number	:	561-570-2501

Provider Enumeration Date	:	09/18/2017
Last Update Date	:	05/15/2024

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