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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
1208VP0000XPain Medicine Physician
2208VP0014XInterventional Pain Medicine Physician
3367500000XCertified Registered Nurse Anesthetist
4207L00000XAnesthesiology Physician
5207LP2900XPain Medicine (Anesthesiology) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
238751OTHERFLBC/BS

General Provider Information

NPI Number : 1972587392
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 : 8201 W BROWARD BLVD
Second Line :
City : PLANTATION
State : FL
Zip : 33324-2701
Country : US
Telephone Number : 954-452-2199
Fax Number : 954-452-2175
Authorized Official
Title or Position : OFFICER
Name : KATHLEEN KONDAS
Credential :
Telephone Number : 954-838-2371
Provider Enumeration Date : 11/30/2005
Last Update Date : 09/20/2019

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Directions to “INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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