Organization
INTERVENTIONAL REHABILITATION CENTER, LLC
Active
Other names
Pensacola Children's Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
1549 AIRPORT BLVD, STE 420, PENSACOLA, FL 32504-8633
(850) 484-8800
(850) 484-6020
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1216
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1061
LICENSE
FL
05
—
126892800
—
FL
Enumeration date
05/23/2005
Last updated
03/16/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us