Provider Demographics
NPI:1265829352
Name:AVERY PARTNERS, INC
Entity Type:Organization
Organization Name:AVERY PARTNERS, INC
Other - Org Name:AVERY REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-639-5809
Mailing Address - Street 1:1455 OLD ALABAMA RD
Mailing Address - Street 2:STE 160
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2129
Mailing Address - Country:US
Mailing Address - Phone:770-642-6100
Mailing Address - Fax:678-367-4603
Practice Address - Street 1:1315 SE 25TH LOOP
Practice Address - Street 2:SUITE 103
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1030
Practice Address - Country:US
Practice Address - Phone:352-789-6166
Practice Address - Fax:352-789-6167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy