Organization Active NPI

Independent Multispecialty Group of Florida LLC

  • Surgery Physician
  • Wellington, FL
National Provider Identifier
1346745122
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
INDEPENDENT MULTISPECIALTY GROUP OF FLORIDA LLC
Practice address
1447 Medical Park Blvd Ste 405
Wellington, FL 33414-3183
Phone
(904) 334-0910
Fax
(561) 363-2597
NPI assigned
Mar 26, 2018
Last updated
Apr 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sriinivas Kaza, MD
Title
Owner
Phone
(561) 767-8342

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Internal Medicine Physician 207R00000X NU
Gastroenterology Physician 207RG0100X NU
Cytopathology Physician 207ZC0500X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU
Neurology Physician 2084N0400X NU
Vascular & Interventional Radiology Physician 2085R0204X NU
Surgery Physician 208600000X NU Primary
Surgical Oncology Physician 2086X0206X NU
Colon & Rectal Surgery Physician 208C00000X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU
Obesity Medicine (Internal Medicine) Physician 207RB0002X NU

Addresses

Primary practice location

1447 Medical Park Blvd Ste 405
Wellington, FL 33414-3183

Mailing address

1447 Medical Park Blvd Ste 405
Wellington, FL 33414-3183
Phone (904) 334-0910

Other identifiers 1

IdentifierTypeStateIssuer
100453300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180911003654 FL Part B Supplier - Clinic/Group Practice 9638429731 Receives reassigned benefits from 41 practitioners
Practice locations: Coral Springs, FL; West Palm Beach, FL; Wellington, FL; Tequesta, FL; Palm Springs, FL; Palm Beach Gardens, FL; Loxahatchee, FL; Delray Beach, FL…

National Provider Directory

National Provider Directory

Locations

880 NW 13th St
Ste 2A
Boca Raton, FL 33486
Phone (561) 417-9555

1880 N Congress Ave
Ste 303A
Boynton Beach, FL 33426
Phone (561) 734-8111

6080 Boynton Beach Blvd
Ste 260
Boynton Beach, FL 33437
Phone (561) 740-1652

5051 S Congress Ave
Ste B
Lake Worth, FL 33461

12601 Narcoossee Rd
Ste 209
Orlando, FL 32832
Phone (407) 605-3777

8400 Red Bug Lake Rd
Ste 2010E
Oviedo, FL 32765

1447 Medical Park Blvd
Ste 405
Wellington, FL 33414
Phone (561) 767-8342

8440 Lake Worth Rd
Ste 230
Wellington, FL 33467
Phone (561) 737-0850

8440 Lake Worth Rd
Ste 240
Wellington, FL 33467
Phone (561) 357-2040

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1346745122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD STE 405",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143183",
            "telephone_number": "904-334-0910",
            "fax_number": "561-363-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD STE 405",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143183",
            "telephone_number": "904-334-0910",
            "fax_number": "561-363-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT MULTISPECIALTY GROUP OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "KAZA",
        "authorized_official_first_name": "SRIINIVAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-767-8342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100453300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.