Organization Active NPI

Palm Beach Rehabilitation Clinic

  • Health Service Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1952705568
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME56218 Issued in FL
Legal business name
PALM BEACH REHABILITATION CLINIC
Practice address
6586 Hypoluxo Rd
Ste 306
Lake Worth, FL 33467-7678
Phone
(561) 386-3485
Fax
(305) 504-2737
NPI assigned
Oct 13, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Nestor Fernandez, M.D.
Title
Medical Director
Phone
(561) 386-3485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME56218 FL Primary

Addresses

Primary practice location

6586 Hypoluxo Rd
Ste 306
Lake Worth, FL 33467-7678

Mailing address

6586 Hypoluxo Rd
Ste 306
Lake Worth, FL 33467-7678
Phone (561) 386-3485

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1952705568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 HYPOLUXO RD",
            "address_2": "STE 306",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677678",
            "telephone_number": "561-386-3485",
            "fax_number": "305-504-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6586 HYPOLUXO RD",
            "address_2": "STE 306",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677678",
            "telephone_number": "561-386-3485",
            "fax_number": "305-504-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-386-3485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME56218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.