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NPI Code Detail

MEDICARE: INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC.

MEDICARE: INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1306820733
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC.
Provider Business Mailing Address
First Line : PO BOX 452439
Second Line :
City : SUNRISE
State : FL
Zip : 33345-2439
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 160 NW 170TH ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33169-5521
Country : US
Telephone Number : 305-654-6855
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. GILBERT DROZDOW
Credential : M.D.
Telephone Number : 954-838-2371
Provider Enumeration Date : 11/30/2005
Last Update Date : 09/20/2019

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