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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1649252339
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	:	1951 SW 172ND AVE
Second Line	:	SUITE 314
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5593
Country	:	US
Telephone Number	:	954-447-5206
Fax Number	:	954-447-5259

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GILBERT DROZDOW
Credential	:	M.D.
Telephone Number	:	954-838-2371

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	09/24/2019

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