Organization
INDEPENDENT MULTISPECIALTY GROUP OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIINIVAS KAZA MD (OWNER)
(561) 767-8342
Entity
Organization
Contact information
Practice address
1447 MEDICAL PARK BLVD STE 405, WELLINGTON, FL 33414-3183
(904) 334-0910
(561) 363-2597
Mailing address
1447 MEDICAL PARK BLVD STE 405, WELLINGTON, FL 33414-3183
(904) 334-0910
(561) 363-2597
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100453300
—
FL
Enumeration date
03/26/2018
Last updated
04/09/2026
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