# INTERNATIONAL CENTER FOR ADVANCED SPINE AND ORTHOPEDIC SURGERY LLC

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

## Provider details

- **NPI number:** 1942498241
- **Authorized official:** DR. SAJEEV K NAIR MD (PRESIDENT)
- **Authorized official phone:** (941) 465-1204

## Contact information

- **Practice address:** 1922 53RD AVE E STE A, BRADENTON, FL 34203-4236
- **Practice address phone:** (941) 753-1756
- **Mailing address:** 1922 53RD AVE E STE A, BRADENTON, FL 34203-4236
- **Mailing address phone:** (941) 753-1756
- **Mailing address fax:** (941) 201-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME96223 | FL | — |
| 261QM2500X | Medical Specialty Clinic/Center | ME96223 | FL | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 02/22/2018