Organization
INDEPENDENT SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR HANSEN DPM (OWNER)
(561) 766-1301
Entity
Organization
Contact information
Practice address
142 JOHN F KENNEDY DR, ATLANTIS, FL 33462-1159
(561) 439-1500
Mailing address
3461 FAIRLANE FARMS RD, WELLINGTON, FL 33414-8752
(561) 766-1301
(561) 693-0539
Taxonomy
Speciality
Code
Description
License number
State
2084B0002X
Obesity Medicine (Psychiatry & Neurology) Physician
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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