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NPI Code Detail

MEDICARE: ROYAL PALM BEACH REHAB, CORP

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
1111N00000XChiropractor
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1871244236
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 : 2801 W WATERS AVE STE A
Second Line :
City : TAMPA
State : FL
Zip : 33614-1866
Country : US
Telephone Number : 813-580-8918
Fax Number : 813-580-8919
Authorized Official
Title or Position : CREDENETIALER
Name : DENISE MASELLI GUADAGNINO
Credential :
Telephone Number : 561-537-4526
Provider Enumeration Date : 01/17/2022
Last Update Date : 01/17/2022

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Directions to “ROYAL PALM BEACH REHAB, CORP ” Practice Location

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