Organization
INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
2122 W CYPRESS CREEK RD STE 120, FT LAUDERDALE, FL 33309-1866
(469) 401-2386
Mailing address
PO BOX 744069, ATLANTA, GA 30374-4069
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/25/2018
Last updated
11/09/2023
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