Organization · NPI-2

1 Advanced Rehab & Wellness Center

Chiropractor · Palm Beach Gardens, FL

NPI number1801101670
StatusActive
Last updated in NPPESOct 18, 2016

Details

NPI
1801101670
Entity type
Organization (NPI-2)
Legal business name
1 Advanced Rehab & Wellness Center
Organization subpart
No
Enumeration date
Aug 17, 2010
Last updated
Oct 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractorch3519FLYes
225100000X Physical Therapist––

Practice location

11211 Prosperity Farms Rd
Ste 208
Palm Beach Gardens, FL 33410-3446

Phone 561-296-5952

Mailing address

11211 Prosperity Farms Rd
Ste 208
Palm Beach Gardens, FL 33410-3446

Phone 561-296-5952

Authorized official

Henry Fernandez
Manager
5613988024

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