# INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235804402
- **Authorized official:** KATHY KONDAS (OFFICER)
- **Authorized official phone:** (877) 328-1119

## Contact information

- **Practice address:** 9075 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-3405
- **Practice address phone:** (877) 328-1119
- **Mailing address:** 5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2021
- **Last updated:** 08/10/2021