MEDICARE: SBM REHABILITATION MEDICAL CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208VP0000X	Pain Medicine Physician
2	261QR0400X	Rehabilitation Clinic/Center
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1528000981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SBM REHABILITATION MEDICAL CENTER

Provider Business Mailing Address
First Line	:	6300 S DIXIE HWY
Second Line	:	SUITE 101
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4348
Country	:	US
Telephone Number	:	561-261-1116
Fax Number	:	561-261-1118

Provider Business Practice Location Address
First Line	:	6300 S DIXIE HWY
Second Line	:	SUITE 101
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4348
Country	:	US
Telephone Number	:	561-261-1116
Fax Number	:	561-261-1118

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROMAN PEREZ
Credential	:
Telephone Number	:	561-296-1116

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	05/21/2009

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