Organization
INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1905 CLINT MOORE RD, SUITE #310, BOCA RATON, FL 33496-2658
(954) 838-2371
Mailing address
1613 NW 136TH AVE, BUILDING C, SUITE #200, SUNRISE, FL 33323-2853
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
09/24/2019
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