Healthcare Provider Details

I. General information

NPI: 1730057167
Provider Name (Legal Business Name): MARC-ELIE REMARAIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 VICTORIA RD
WEST PALM BEACH FL
33411-6441
US

IV. Provider business mailing address

3801 VICTORIA RD
WEST PALM BEACH FL
33411-6441
US

V. Phone/Fax

Practice location:
  • Phone: 786-879-2493
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA33895
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: