Ava Rehabilitation Clinic in Lake Wales - Specialist
Ava Rehabilitation Clinic - NPI 1447206917
Ava Rehabilitation Clinic is a Specialist in Lake Wales, Florida. Ava Rehabilitation Clinic practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ava Rehabilitation Clinic is 1447206917. The last update date is 2021-01-13.
Ava Rehabilitation Clinic's current location address is 1342 State Road 60 E, Lake Wales, Florida. You can contact this provider via phone number 8636768300 and fax number 8636761300. The mailing address for Ava Rehabilitation Clinic is 1342 State Road 60 E, Lake Wales, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ava Rehabilitation Clinic |
|---|---|
| Address | 1342 State Road 60 E, Lake Wales, Florida |
| Phone Number | 8636768300 |
| Fax Number | 8636761300 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gayed Pola |
| Credentials | DPT |
| Telephone Number | 8636768300 |
NPI Number Detail
| NPI Number | 1447206917 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2021-01-13 |
Provider Mailing Address Detail
| Address | 1342 State Road 60 E |
|---|---|
| City | Lake Wales |
| State | Florida (FL) |
| Post Code | 338534322 |
| Phone Number | 8636768300 |
| Fax Number | 8636761300 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT3913 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD6113 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Ava Rehabilitation Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Ava Rehabilitation Clinic has been assigned the NPI (National Provider Identifier) 1447206917. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Ava Rehabilitation Clinic located?
The Ava Rehabilitation Clinic is located at 1342 State Road 60 E, Lake Wales, FL 338534322.
What is Ava Rehabilitation Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ava Rehabilitation Clinic is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date was the 1447206917 assigned to Ava Rehabilitation Clinic?
The Ava Rehabilitation Clinic was issued its 1447206917 on 2006-05-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ava Rehabilitation Clinic last refreshed?
The information related to the Ava Rehabilitation Clinic, including its address, specialty, and other relevant details, was last updated on 2021-01-13.