Florida Interventional Providers, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

FLORIDA INTERVENTIONAL PROVIDERS, LLC

Practice address

2202 SE 23Rd Rd
Homestead, FL 33035-1904

Phone

(201) 951-3113

Fax

(305) 675-3346

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Darrell Johnson

Title

Administrator

Phone

(561) 356-6313

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• George Ibraheim, D.O.

  • Cardiovascular Disease Physician
  • Largo, FL
  • NPI 1952606683
  Medicare reassignment

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1477134658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 SE 23RD RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351904",
            "telephone_number": "201-951-3113",
            "fax_number": "305-675-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 SE 23RD RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351904",
            "telephone_number": "201-951-3113",
            "fax_number": "305-675-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INTERVENTIONAL PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-356-6313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raisa Flores
• Yenisleydis Flores
• Florida City Dental
• Florida City Dental Orthodontics
• Florida ENT Associates, Inc.
• Florida Medical Center Group, Inc.
• Florida Transportation Services Corp
• Florida Wellness & Rehabilitation Center of Homestead, Inc
• Florida Wellness & Rehabilitation Center, Inc
• Florimed Medical Center

• Addiction Medicine (Family Medicine) Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.