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Contact Information

INDEPENDENT SURGICAL GROUP LLC
142 JOHN F KENNEDY DR
ATLANTIS, FL33462-1159
 Phone: 561-439-1500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Bariatric Medicine

2084B0002X 86 Physician/Neuropsychiatry
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for INDEPENDENT SURGICAL GROUP LLC · (Female)

NPI # 1194220962
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2018
Last updated 03/26/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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