Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

INDEPENDENTSURGIASSISTLLC
NPI 1104724525
Physician Assistant - Surgical in Fort Lauderdale, FL

Active since October 27, 2026
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308(954) 771-8000 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Independentsurgiassistllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENTSURGIASSISTLLC (NPI 1104724525) is a healthcare organization registered as a surgical in Fort Lauderdale, Florida and active in the NPI registry since October 2026. The organization maintains a secondary practice location in Boca Raton and lists Kayla Lynn Ventura, Member, as its authorized official.

NPPES Registry Identity

NPI1104724525
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameINDEPENDENTSURGIASSISTLLC
Location Address4725 N FEDERAL HWYFort Lauderdale, FL 33308-4603
Mailing Address8451 Lake Majesty LnParkland, FL 33076-2899
Organization SubpartNo
Authorized OfficialKayla Lynn VenturaMember · (954) 806-8280
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1104724525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
4725 N FEDERAL HWY, Fort Lauderdale, FL 33308

Secondary Practice Location 1

Location 1800 Meadows RdBoca Raton, FL 33486-2304 · Phone (561) 955-7100

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Nurse Anesthetist, Certified Registered
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Emergency Medicine
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Nurse Practitioner (Acute Care)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Specialist
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Internal Medicine (Cardiovascular Disease)
4725 N FEDERAL HWY, SUITE 401
FORT LAUDERDALE, FL 33308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independentsurgiassistllc's NPI number?

The NPI number for Independentsurgiassistllc is 1104724525. It was assigned to this organization in the NPPES registry on October 27, 2026.

Where is Independentsurgiassistllc located?

Independentsurgiassistllc is located at 4725 N Federal Hwy, Fort Lauderdale, FL 33308. The listed phone number is (954) 771-8000.

What is Independentsurgiassistllc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Independentsurgiassistllc was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.