Active NPI
Integrative Surgical Associates, LLC
- Surgery Physician
- Sun City Center, FL
National Provider Identifier
1194573188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- INTEGRATIVE SURGICAL ASSOCIATES, LLC
- Practice address
- 3909 Galen CT Ste 103
Sun City Center, FL 33573-6824 - Phone
- (856) 316-9239
- NPI assigned
- May 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenna Kazil, MD
- Title
- Owner
- Phone
- (856) 316-9239
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
3909 Galen CT Ste 103
Sun City Center, FL 33573-6824
Mailing address
12331 Lavender Loop
Bradenton, FL 34212-2975
Phone (856) 316-9239
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Bradenton, FL
- NPI 1194968594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1194573188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12331 LAVENDER LOOP",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342122975",
"telephone_number": "856-316-9239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 GALEN CT STE 103",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736824",
"telephone_number": "856-316-9239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE SURGICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "KAZIL",
"authorized_official_first_name": "JENNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-316-9239",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.