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NPI Code Detail

MEDICARE: GAVY REHABILITATION CENTER, INC

MEDICARE: GAVY REHABILITATION CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/CenterME50169FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HC3656OTHERFLAHCA LICENSE

General Provider Information

NPI Number : 1487699286
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAVY REHABILITATION CENTER, INC
Provider Business Mailing Address
First Line : 6070 W 18TH AVE
Second Line : APT 111
City : HIALEAH
State : FL
Zip : 33012-6172
Country : US
Telephone Number : 305-318-1526
Fax Number :
Provider Business Practice Location Address
First Line : 4501 PALM AVE
Second Line : SUITE 202
City : HIALEAH
State : FL
Zip : 33012-4010
Country : US
Telephone Number : 305-820-7130
Fax Number : 305-820-7124
Authorized Official
Title or Position : PRESIDENT
Name : MRS. GENOVEVA SANTANA
Credential :
Telephone Number : 305-820-7130
Provider Enumeration Date : 06/17/2006
Last Update Date : 08/22/2020

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Directions to “GAVY REHABILITATION CENTER, INC ” Practice Location

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