Healthcare Provider Details
I. General information
NPI: 1558352799
Provider Name (Legal Business Name): REHABILITATION PHYSICIANS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2005
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 ROYAL PALM WAY
PALM BEACH FL
33480-4305
US
IV. Provider business mailing address
1325 S CONGRESS AVE SUITE 208
BOYNTON BEACH FL
33426-5876
US
V. Phone/Fax
- Phone: 561-659-5443
- Fax: 561-659-4614
- Phone: 561-659-5443
- Fax: 561-659-4614
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JEFFREY
S.
FARBER
Title or Position: OWNER
Credential: MD
Phone: 561-659-5443