MEDICARE: ISACHY RUMBAUT

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	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1982478988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISACHY RUMBAUT

Provider Business Mailing Address
First Line	:	1920 BARBADOS RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6733
Country	:	US
Telephone Number	:	561-913-7128
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 BARBADOS RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6733
Country	:	US
Telephone Number	:	561-913-7128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	11/09/2023

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Directions to “ ISACHY RUMBAUT ” Practice Location

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