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Contact Information

SOUTHEASTERN CLINICAL SERVICES,INC.
4215 EDGEWATER
ORLANDO, FL32804
 Phone: 407-539-2000
 Fax: 407-398-0050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN CLINICAL SERVICESINC · (Female)

NPI # 1033162011
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2006
Last updated 02/22/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 290643100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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