| Entity Name: | INTEGRATIVE SURGICAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 May 2024 (9 months ago) |
| Document Number: | L24000212838 |
| Address: | 3909 GALEN COURT, SUITE 103, SUN CITY CENTER, FL 33573 |
| Mail Address: | 12331 LAVENDER LOOP, BRADENTON, FL 34212 UN |
| ZIP code: | 33573 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194573188 | 2024-05-07 | 2024-05-07 | 12331 LAVENDER LOOP, BRADENTON, FL, 342122975, US | 3909 GALEN CT STE 103, SUN CITY CENTER, FL, 335736824, US | |||||||||||||
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| Phone | +1 856-316-9239 |
Authorized person
| Name | JENNA KAZIL |
| Role | OWNER |
| Phone | 8563169239 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KAZIL, JENNA | Agent | 12331 LAVENDER LOOP, BRADENTON, FL 34212 |
| Name | Role | Address |
|---|---|---|
| RAO, ARUN, MD | Treasurer | 3909 GALEN COURT, SUITE 103, SUN CITY CENTER, FL 33573 UN |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, TOMAS | Manager | 3909 GALEN COURT, SUITE 103, SUN CITY CENTER, FL 33573 UN |
| Name | Role | Address |
|---|---|---|
| RAO, ARUN, MD | President | 3909 GALEN COURT, SUITE 103, SUN CITY CENTER, FL 33573 UN |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-07 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
