# INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC

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

## Provider details

- **NPI number:** 1780169888
- **Authorized official:** KAREN VAUGHN (OFFICER)
- **Authorized official phone:** (404) 450-4684

## Contact information

- **Practice address:** 2122 W CYPRESS CREEK RD STE 120, FT LAUDERDALE, FL 33309-1866
- **Practice address phone:** (469) 401-2386
- **Mailing address:** PO BOX 744069, ATLANTA, GA 30374-4069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 09/25/2018
- **Last updated:** 11/09/2023