Active NPI
Interventional Rehabilitation of South Florida, Inc
- Pain Medicine (Anesthesiology) Physician
- Aventura, FL
National Provider Identifier
1366426884
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
- 20900 Biscayne Blvd
Aventura, FL 33180-1407 - Phone
- (305) 937-6948
- Fax
- (305) 937-6938
- NPI assigned
- Nov 30, 2005
- 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
- Kathleen Kondas
- Title
- Officer
- Phone
- (954) 838-2371
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
20900 Biscayne Blvd
Aventura, FL 33180-1407
Mailing address
PO Box 452439
Sunrise, FL 33345-2439
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38751 | Other | FL | BC/BS |
| 256380103 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568937600000",
"number": "1366426884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452439",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20900 BISCAYNE BLVD",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801407",
"telephone_number": "305-937-6948",
"fax_number": "305-937-6938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-30",
"last_updated": "2019-09-20",
"status": "A",
"authorized_official_last_name": "KONDAS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "954-838-2371"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "38751",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256380103",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.