Provider Demographics
NPI:1679517908
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:MR
Authorized Official - First Name:BAHAA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERGES
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:352-793-2441
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:352-793-2441
Mailing Address - Fax:352-793-3282
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:352-793-2441
Practice Address - Fax:352-793-3282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGA9OtherBCBSF
FLGA9OtherBCBSF