MEDICARE: ROYAL PALM BEACH REHAB, CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	225100000X	Physical Therapist
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	FL
3	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	FL
4	111N00000X	Chiropractor
5	207XS0117X	Orthopaedic Surgery of the Spine Physician	FL
6	207XX0801X	Orthopaedic Trauma Physician	FL
7	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	FL
8	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1689925943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL PALM BEACH REHAB, CORP

Provider Business Mailing Address
First Line	:	4971 LE CHALET BLVD STE 100
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1418
Country	:	US
Telephone Number	:	561-537-4526
Fax Number	:

Provider Business Practice Location Address
First Line	:	3335 BURNS RD STE 200
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4311
Country	:	US
Telephone Number	:	561-578-4850
Fax Number	:	561-345-3063

Authorized Official
Title or Position	:	CEO
Name	:	JOHN PAPA
Credential	:	D.C.
Telephone Number	:	561-801-2535

Provider Enumeration Date	:	09/27/2012
Last Update Date	:	10/22/2025

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1982128666 — CERTIFIED SPINE AND PAIN CARE
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Directions to “ROYAL PALM BEACH REHAB, CORP ” Practice Location

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