Healthcare Provider Details

I. General information

NPI: 1639017080
Provider Name (Legal Business Name): RHEITZA R JAVOIS CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 SW 39TH BLVD APT 114
GAINESVILLE FL
32608-1404
US

IV. Provider business mailing address

3415 SW 39TH BLVD APT 114
GAINESVILLE FL
32608-1404
US

V. Phone/Fax

Practice location:
  • Phone: 346-233-6538
  • Fax:
Mailing address:
  • Phone: 346-233-6538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2-67582-1B
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: