OrganizationActive
Interventional Rehabilitation of South Florida, Inc
NPI 1104591171 · Pain Medicine (Anesthesiology) Physician · Stuart, FL
Provider details
- NPI number
- 1104591171
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Karen Vaughn, Authorized Official(404) 450-4684
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Se Osceola St
Stuart, FL 34994-2114
Phone: (877) 328-1119
Street-level locationGet directions
Mailing address
Po Box 744069
Atlanta, GA 30374-4069
Registry dates
- Enumerated
- 2021-08-12
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.