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:
Map and Directions
Authorized official contact:
Name: Gayed, Pola DPT
Phone: (863) 676-8300

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447206917 NPPES
Other DD6113 RAILROAD MEDICARE

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