Organization
INTENSIVIST MEDICINE SERVICES OF FL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VYVYAN DEROUEN (PRESIDENT)
(615) 376-5076
Entity
Organization
Contact information
Practice address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(813) 873-6400
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
11/20/2025
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