# INTERNATIONAL CENTER FOR ADVANCED SPINE AND ORTHOPEDIC SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194049445
- **Authorized official:** DR. SAJEEV K NAIR MD (PRESIDENT)
- **Authorized official phone:** (941) 753-1756

## Contact information

- **Practice address:** 712 53RD AVE E, BRADENTON, FL 34203-5827
- **Practice address phone:** (941) 753-1756
- **Practice address fax:** (941) 227-4243
- **Mailing address:** 1945 VERSAILLES ST, SUITE 103, SARASOTA, FL 34239-6900
- **Mailing address phone:** (941) 753-1756
- **Mailing address fax:** (941) 227-4243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME96223 | FL | Yes |

## Other

- **Enumeration date:** 03/16/2010
- **Last updated:** 03/16/2010