Organization
INDEPENDENT SURGICAL ASSIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRIE KENSETH ARNP (OWNER)
16084380551
Entity
Organization
Contact information
Practice address
1451 HOHE LN, ORMOND BEACH, FL 32174-9330
(608) 438-0551
Mailing address
1451 HOHE LN, ORMOND BEACH, FL 32174-9330
(608) 438-0551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9341144
FL
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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