Ava Rehabilitation Clinic
LBN: Ava Rehabilitation Clinic
Ava Rehabilitation Clinic is an health care organization with primary practice located at 1342 State Road 60 E , Lake Wales FL 33853-4322. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Ava Rehabilitation Clinic can be contacted via phone (863) 676-8300, or through Gayed, Pola via phone (863) 676-8300.
Contact Information
Primary practice address
1342 State Road 60 E
Lake Wales FL 33853-4322
Phone: (863) 676-8300
Fax: (863) 676-1300
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | PT3913 | Florida |
Profile Details
NPI number | 1447206917 |
---|---|
LBN Legal business name | Ava Rehabilitation Clinic |
DBA Doing business as | |
Authorized official | Gayed, Pola DPT |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 26th, 2006 |
Last updated | Jan 13th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447206917 | NPPES |
Other | DD6113 | RAILROAD MEDICARE |
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