Palms Rehab and Wellness

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH9998 Issued in FL

Legal business name

PALMS REHAB AND WELLNESS

Practice address

5201 Hollywood Blvd
1St Floor
Hollywood, FL 33021-6422

Phone

(954) 964-6000

Fax

(954) 964-3444

NPI assigned

May 21, 2012

Last updated

Aug 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clydell Dewberry, D.C.

Title

Member Manager

Phone

(405) 639-7140

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1316207632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HOLLYWOOD BLVD",
            "address_2": "1ST FLOOR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216422",
            "telephone_number": "954-964-6000",
            "fax_number": "954-964-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HOLLYWOOD BLVD",
            "address_2": "1ST FLOOR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216422",
            "telephone_number": "954-964-6000",
            "fax_number": "954-964-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS REHAB AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "DEWBERRY",
        "authorized_official_first_name": "CLYDELL",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "405-639-7140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH9998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Palladino, RN
• Palm Beach Pediatrics, LLC (Bluebird Kids Health)
• Palm Rehabilitation Center, Inc.
• Larisa M. Palmer, PSY.D.
• Tholena Palmer
• Lisa Panas
• Melanie Panchula, HOME HEALTH AIDE
• Tejveer Singh Pandher, OD
• Franklin Anthony Paniagua Jr., LMT
• Kathy Pantuso, RNFA

• Rehabilitation Chiropractor in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.