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FLORIDA INTERVENTIONAL PROVIDERS, LLC
NPI 1477134658
Family Medicine - Addiction Medicine in Homestead, FL

Active since April 19, 2021
2202 SE 23RD RD, HOMESTEAD, FL 33035(201) 951-3113(305) 675-3346 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Apr 19, 2021 (2 updates tracked since 2021).

About Florida Interventional Providers, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA INTERVENTIONAL PROVIDERS, LLC (NPI 1477134658) is a healthcare organization registered as an addiction medicine in Homestead, Florida and active in the NPI registry since April 2021. The organization lists Darrell Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477134658
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameFLORIDA INTERVENTIONAL PROVIDERS, LLC
Location Address2202 SE 23RD RDHomestead, FL 33035-1904
Mailing Address2202 Se 23rd RdHomestead, FL 33035-1904 · (201) 951-3113 · Fax (305) 675-3346
Phone(201) 951-3113
Fax(305) 675-3346
Organization SubpartNo
Authorized OfficialDarrell JohnsonAdministrator · (561) 356-6313
Enumeration DateApril 19, 2021
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1477134658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
2202 SE 23RD RD, Homestead, FL 33035
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Interventional Providers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Florida Interventional Providers, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

George Ibraheim, D.O.
Internal Medicine
NPI 1952606683
2025 INDIAN ROCKS RD S
Largo, FL 33774
(727) 586-7103
✔ PECOS✔ Accepts Medicare224 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Interventional Providers, LLC's NPI number?

The NPI number for Florida Interventional Providers, LLC is 1477134658. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Florida Interventional Providers, LLC located?

Florida Interventional Providers, LLC is located at 2202 SE 23rd Rd, Homestead, FL 33035. The listed phone number is (201) 951-3113.

What is Florida Interventional Providers, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Florida Interventional Providers, LLC enrolled in Medicare?

Yes. Florida Interventional Providers, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Interventional Providers, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Florida Interventional Providers, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Florida Interventional Providers, LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.