# FLORIDA REGIONAL INTENSIVIST SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1336856731
- **Authorized official:** KAREN VAUGHN (OFFICER)
- **Authorized official phone:** (973) 251-1132

## Contact information

- **Practice address:** 449 W 23RD ST, PANAMA CITY, FL 32405-4507
- **Practice address phone:** (850) 769-8341
- **Mailing address:** PO BOX 80325, PHILADELPHIA, PA 19101-1325
- **Mailing address phone:** (973) 251-1132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2022
- **Last updated:** 05/19/2023