Interventional Rehabilitation Center, LLC

NPI #1205839487 in Pensacola, Florida

Provider Information

NPI Number: 1205839487
Entity Type: Organization
Organization Name: Interventional Rehabilitation Center, LLC
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: May 23, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1549 AIRPORT BLVD
Address 2: STE 420
City: Pensacola
State: Florida
ZIP Code: 32504-8633
Phone: (850) 484-8800

Authorized Official

Name: DR. RUBEN BERROCAL TIMMONS, MD
Title: MEDICAL DIRECTOR/ADMINISTRATOR
Phone: (850) 484-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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