# INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC.

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

## Provider details

- **NPI number:** 1477716173
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 100 NW 170TH ST, SUITE 303, NORTH MIAMI BEACH, FL 33169-5513
- **Practice address phone:** (954) 838-2371
- **Mailing address:** PO BOX 452439, SUNRISE, FL 33345-2439
- **Mailing address phone:** (954) 838-2371
- **Mailing address fax:** (954) 851-1758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | FL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | FL | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 09/20/2019