MEDICARE: GOLDSTEIN REHABILITATION CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH7738	FL

General Provider Information

NPI Number	:	1497876353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDSTEIN REHABILITATION CENTER, INC.

Provider Business Mailing Address
First Line	:	1225 N MILITARY TRL
Second Line	:	SUITE 7
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6059
Country	:	US
Telephone Number	:	561-687-5150
Fax Number	:	561-687-5051

Provider Business Practice Location Address
First Line	:	1225 N MILITARY TRL
Second Line	:	SUITE 7
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6059
Country	:	US
Telephone Number	:	561-687-5150
Fax Number	:	561-687-5051

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AYAL GOLDSTEIN
Credential	:	CHIROPRACTIC PHYSICI
Telephone Number	:	561-351-8065

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	06/05/2013

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