Healthcare Provider Details

I. General information

NPI: 1700930773
Provider Name (Legal Business Name): HEALTH AND REHAB CENTER OF THE PALM BEACHES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11951 U.S. HWY 1 SUITE 105
NORTH PALM BEACH FL
33408
US

IV. Provider business mailing address

11951 U.S. HWY 1 SUITE 105
NORTH PALM BEACH FL
33408-2804
US

V. Phone/Fax

Practice location:
  • Phone: 561-630-8722
  • Fax: 561-630-8729
Mailing address:
  • Phone: 561-630-8722
  • Fax: 561-630-8729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15947
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19114
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT19114
License Number StateFL

VIII. Authorized Official

Name: DR. JOHN DELUCA
Title or Position: PRESIDENT
Credential: MD
Phone: 561-630-8722