Healthcare Provider Details
I. General information
NPI: 1497164933
Provider Name (Legal Business Name): ROYAL PALM BEACH REHAB, CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2014
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
580 VILLAGE BLVD STE 215
WEST PALM BEACH FL
33409-1951
US
IV. Provider business mailing address
4971 LE CHALET BLVD STE 100
BOYNTON BEACH FL
33436-1418
US
V. Phone/Fax
- Phone: 561-578-4478
- Fax: 561-828-7808
- Phone: 561-733-5590
- Fax: 561-740-0714
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOHN
PAPA
Title or Position: CEO
Credential: D.C.
Phone: 561-801-2535