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

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256380103
FL
01
38751
BC/BS
FL
Enumeration date
11/30/2005
Last updated
09/20/2019
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