Organization Active NPI

Interventional Rehabilitation of South Florida, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Stuart, FL
National Provider Identifier
1104591171
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC
Practice address
111 SE Osceola St
Stuart, FL 34994-2114
Phone
(877) 328-1119
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Vaughn
Title
Authorized Official
Phone
(404) 450-4684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

111 SE Osceola St
Stuart, FL 34994-2114

Mailing address

PO Box 744069
Atlanta, GA 30374-4069

National Provider Directory

National Provider Directory

Locations

21097 NE 27th Ct
Ste 340
Aventura, FL 33180
Phone (305) 932-1660

20295 NE 29th Pl
Fl 3
Aventura, FL 33180
Phone (305) 932-1660

650 Glades Rd
Boca Raton, FL 33431
Phone (561) 602-1139

670 Glades Rd
Fl 4
Boca Raton, FL 33431
Phone (561) 955-7246

4848 Coconut Creek Pkwy
#200
Coconut Creek, FL 33063
Phone (877) 848-2507

8950 N Kendall Dr
Ste 608W
Miami, FL 33176
Phone (305) 279-3223

311 Tamiami Trl N
Ste 200
Naples, FL 34102
Phone (239) 241-9955

5301 N Dixie Hwy
Oakland Park, FL 33334
Phone (954) 202-7850

208 NE 19th Dr
Ste 208
Okeechobee, FL 34972

107 NE 19th Dr
Ste 107
Okeechobee, FL 34972
Phone (863) 357-7246

22 Underwood St
Ste 400
Orlando, FL 32806
Phone (407) 841-5280

4510 Donald Ross Rd
Ste 203
Palm Beach Gardens, FL 33418

2261 N University Dr
Pembroke Pines, FL 33024
Phone (954) 962-4680

10244 S US Highway 1
Port St Lucie, FL 34952
Phone (954) 223-5483

111 SE Osceola St
Stuart, FL 34994
Phone (772) 242-7720

7447 N University Dr
Ste 103
Tamarac, FL 33321
Phone (954) 722-6200

7481 N University Dr
Tamarac, FL 33321
Phone (954) 718-1000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1104591171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744069",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942114",
            "telephone_number": "877-328-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "404-450-4684"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.