Independent Multispecialty Group Of Florida Llc

LBN: Independent Multispecialty Group Of Florida Llc
Independent Multispecialty Group Of Florida Llc is an health care organization with primary practice located at 1447 Medical Park Blvd Ste 405 , Wellington FL 33414-3183. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Independent Multispecialty Group Of Florida Llc can be contacted via phone (904) 334-0910, or through Kaza, Sriinivas via phone (561) 767-8342.

Contact Information

Primary practice address
1447 Medical Park Blvd Ste 405 Wellington FL 33414-3183
Phone: (904) 334-0910
Fax: (561) 363-2597
Website:
Map and Directions
Authorized official contact:
Name: Kaza, Sriinivas Doctor of Medicine (MD)
Phone: (561) 767-8342

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1346745122
LBN Legal business name Independent Multispecialty Group Of Florida Llc
DBA Doing business as
Authorized official Kaza, Sriinivas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2018
Last updated Aug 8th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346745122 NPPES
Florida MEDICAID 100453300

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