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Organization
INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC
Active
Organization
INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (AUTHORIZED OFFICIAL)
(404) 450-4684
Entity
Organization
Contact information
Practice address
10050 SW INNOVATION WAY STE 104, PORT ST LUCIE, FL 34987-2117
(877) 328-1119
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
03/29/2023
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