# PALM ORTHOPEDICS AND REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366786931
- **Authorized official:** DR. WILLIAM FREDERICK VANDERBROOK D.C. (PRESIDENT)
- **Authorized official phone:** (561) 961-5699

## Contact information

- **Practice address:** 5458 TOWN CENTER ROAD, SUITE 104B, BOCA RATON, FL 33486
- **Practice address phone:** (561) 961-5699
- **Practice address fax:** (561) 961-5899
- **Mailing address:** 5458 TOWN CENTER RD, SUITE 104B, BOCA RATON, FL 33486-1089
- **Mailing address phone:** (561) 961-5699
- **Mailing address fax:** (561) 961-5899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2012
- **Last updated:** 11/20/2012
