Provider Demographics
NPI:1700389665
Name:ADVANCE REHAB SERVICES OF PALM BEACH LLC
Entity Type:Organization
Organization Name:ADVANCE REHAB SERVICES OF PALM BEACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEYMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARREII
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-498-5800
Mailing Address - Street 1:6298 LINTON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6444
Mailing Address - Country:US
Mailing Address - Phone:561-498-5800
Mailing Address - Fax:
Practice Address - Street 1:6298 LINTON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6444
Practice Address - Country:US
Practice Address - Phone:561-498-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty