Healthcare Provider Details

I. General information

NPI: 1114833373
Provider Name (Legal Business Name): INNOVATIVE SURGICAL ASSISTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9980 CENTRAL PARK BLVD N STE 220
BOCA RATON FL
33428-1704
US

IV. Provider business mailing address

169 E FLAGLER ST STE 500
MIAMI FL
33131-1295
US

V. Phone/Fax

Practice location:
  • Phone: 561-558-8898
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD GELB
Title or Position: PRESIDENT
Credential: MD
Phone: 954-612-4528