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INDEPENDENT MULTISPECIALTY GROUP OF FLORIDA LLC NPI 1346745122


NPI Information

NPI: 1346745122
Provider Name: INDEPENDENT MULTISPECIALTY GROUP OF FLORIDA LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
142 JOHN F KENNEDY DR
ATLANTIS, FL
ZIP 33462
Phone: (561) 439-1500
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INDEPENDENT MULTISPECIALTY GROUP OF FLORIDA LLC is a surgery in Atlantis, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. INDEPENDENT MULTISPECIALTY GROUP OF FLORIDA LLC NPI is 1346745122. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

142 JOHN F KENNEDY DR
ATLANTIS, FL
ZIP 33462-159
Phone: (561) 439-1500
Fax: (561) 439-9902

The provider's authorized official is Sriinivas Kaza .
The authorized official title is Owner and has the following contact phone number (561) 439-1500.

The enumeration date for this NPI number is 3/26/2018 and was last updated on 12/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyNo
2208600000XSurgeryYes
32086X0206XSurgerySurgical OncologyNo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
5207RB0002XInternal MedicineObesity MedicineNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100453300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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