Healthcare Provider Details

I. General information

NPI: 1033529961
Provider Name (Legal Business Name): ROYAL PALM BEACH REHAB CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2014
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5149 S UNIVERSITY DR
DAVIE FL
33328-4507
US

IV. Provider business mailing address

4971 LE CHALET BLVD STE 100
BOYNTON BEACH FL
33436-1418
US

V. Phone/Fax

Practice location:
  • Phone: 954-900-8857
  • Fax: 954-212-6364
Mailing address:
  • Phone: 561-733-5590
  • Fax: 561-740-0714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. JORGE GARCIA
Title or Position: CREDENTIALING DIRECTOR
Credential:
Phone: 561-537-4526