Provider Demographics
NPI:1568580926
Name:REVA, INC.
Entity Type:Organization
Organization Name:REVA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-776-2776
Mailing Address - Street 1:1745 NW 51ST PL
Mailing Address - Street 2:HANGAR 73
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-2755
Mailing Address - Country:US
Mailing Address - Phone:954-730-9300
Mailing Address - Fax:888-422-5785
Practice Address - Street 1:2101 W COMMERCIAL BLVD STE 5100
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3055
Practice Address - Country:US
Practice Address - Phone:954-730-9300
Practice Address - Fax:888-422-5785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4063416A0800X
3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport