Active NPI
Interventional Rehabilitation of South Florida, Inc
- Pain Medicine (Anesthesiology) Physician
- Miramar, FL
National Provider Identifier
1104591189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC
- Practice address
- 1901 SW 172ND Ave
Miramar, FL 33029-5592 - Phone
- (877) 328-1119
- NPI assigned
- Aug 12, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1901 SW 172ND Ave
Miramar, FL 33029-5592
Mailing address
5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563
National Provider Directory
National Provider DirectoryNPI 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": "1680048000000",
"number": "1104591189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 CENTERVIEW DR STE 107",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276063563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 SW 172ND AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295592",
"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": "2023-03-29",
"certification_date": "2023-03-29",
"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 Miramar, FL
- Inspire Behavioral Health Center Inc
- Inspire Trust ABA Services LLC
- Integrated Home Care Services, Inc.
- Integrated Home Care Services, Inc.
- Intercare Home Health Services Inc
- Interventional Rehabilitation of South Florida, Inc.
- Iq Homecare Inc.
- Ireisa LLC
- Claudia Irias-Garcia
- Yassir Irizarry-Cruz, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.