MEDICARE: ADVANCE REHAB SERVICES OF PALM BEACH LLC

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	207R00000X	Internal Medicine Physician	ME93662	FL

General Provider Information

NPI Number	:	1700389665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE REHAB SERVICES OF PALM BEACH LLC

Provider Business Mailing Address
First Line	:	6298 LINTON BLVD STE 100
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6444
Country	:	US
Telephone Number	:	561-498-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6298 LINTON BLVD STE 100
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6444
Country	:	US
Telephone Number	:	561-498-5800
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. PEYMON ZARREII
Credential	:	MD
Telephone Number	:	561-498-5800

Provider Enumeration Date	:	03/16/2018
Last Update Date	:	03/16/2018

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