Healthcare Provider Details

I. General information

NPI: 1073905956
Provider Name (Legal Business Name): ROYAL PALM BEACH REHAB, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 HOLLYWOOD BLVD STE 204
HOLLYWOOD FL
33021-6797
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 954-866-9693
  • Fax: 954-301-3975
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
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN PAPA
Title or Position: OWNER
Credential: D.C.
Phone: 561-801-2535