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NPI 1255741187

NPI 1255741187 : ROYAL PALM BEACH REHAB, CORP : DAVIE, FL

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General NPI Number Information
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    NPI Number           |    1255741187
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROYAL PALM BEACH REHAB, CORP 
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Dates
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    Enumeration Date     |    04/30/2014
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    Last Update Date     |    10/21/2025
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Provider Practice Location Address
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    Address Line         |    5149 S UNIVERSITY DR 
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    City                 |    DAVIE
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    State                |    FL
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    Zip                  |    33328-4507
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    Country              |    US
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    Telephone            |    954-900-8857
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    Fax                  |    954-337-0403
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Provider Business Mailing Address
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    Address Line         |    4971 LE CHALET BLVD STE 100 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33436-1418
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    Country              |    US
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    Telephone            |    561-733-5590
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    Fax                  |    561-740-0714
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JOHN  PAPA 
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    Credential           |    D.C.
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    Telephone            |    561-801-2535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    FL
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