# INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC

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

## Provider details

- **NPI number:** 1982688313
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 120 NE 167TH ST, N MIAMI BEACH, FL 33162-3403
- **Practice address phone:** (305) 940-5100
- **Mailing address:** PO BOX 452439, SUNRISE, FL 33345-2439

## 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 |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 09/20/2019