Provider Demographics
NPI:1003273913
Name:REHAB GV INC
Entity Type:Organization
Organization Name:REHAB GV INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BAHAA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GERGES
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:352-793-8661
Mailing Address - Street 1:124 S FLORIDA ST
Mailing Address - Street 2:
Mailing Address - City:BUSHNELL
Mailing Address - State:FL
Mailing Address - Zip Code:33513-6704
Mailing Address - Country:US
Mailing Address - Phone:352-793-8661
Mailing Address - Fax:352-793-6899
Practice Address - Street 1:124 S FLORIDA ST
Practice Address - Street 2:
Practice Address - City:BUSHNELL
Practice Address - State:FL
Practice Address - Zip Code:33513-6704
Practice Address - Country:US
Practice Address - Phone:352-793-8661
Practice Address - Fax:352-793-6899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty