# INDEPENDENT SURGICAL ASSIST INC

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

## Provider details

- **NPI number:** 1821336413
- **Authorized official:** LORRIE KENSETH ARNP (OWNER)
- **Authorized official phone:** 16084380551

## Contact information

- **Practice address:** 1451 HOHE LN, ORMOND BEACH, FL 32174-9330
- **Practice address phone:** (608) 438-0551
- **Mailing address:** 1451 HOHE LN, ORMOND BEACH, FL 32174-9330
- **Mailing address phone:** (608) 438-0551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | ARNP9341144 | FL | Yes |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 01/17/2013