Healthcare Provider Details

I. General information

NPI: 1427523323
Provider Name (Legal Business Name): ROYAL PALM BEACH REHAB CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2018
Last Update Date: 10/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7824 LAKE UNDERHILL RD STE D
ORLANDO FL
32822-8201
US

IV. Provider business mailing address

11211 PROSPERITY FARMS RD STE B104
PALM BEACH GARDENS FL
33410-3453
US

V. Phone/Fax

Practice location:
  • Phone: 561-588-9912
  • Fax: 561-828-2908
Mailing address:
  • Phone: 561-537-4526
  • Fax: 561-634-3449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN PAPA
Title or Position: CEO
Credential: DC
Phone: 561-801-2535