Organization
GAVY REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENOVEVA SANTANA (PRESIDENT)
(305) 820-7130
Entity
Organization
Contact information
Practice address
4501 PALM AVE, SUITE 202, HIALEAH, FL 33012-4010
(305) 820-7130
(305) 820-7124
Mailing address
6070 W 18TH AVE, APT 111, HIALEAH, FL 33012-6172
(305) 318-1526
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME50169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC3656
AHCA LICENSE
FL
Enumeration date
06/17/2006
Last updated
08/22/2020
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