Healthcare Provider Details

I. General information

NPI: 1982179883
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: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 METROWEST BLVD STE 102
ORLANDO FL
32835-3290
US

IV. Provider business mailing address

6415 LAKE WORTH RD STE 302
GREENACRES FL
33463-2906
US

V. Phone/Fax

Practice location:
  • Phone: 561-588-9912
  • Fax: 561-828-2908
Mailing address:
  • Phone:
  • Fax:

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: JORGE GARCIA
Title or Position: CREDENTIALING DIRECTOR
Credential:
Phone: 561-570-2501