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Contact Information

SOUTHEASTERN OSTEOPOROSIS SERVICES INC
4511 N DAVIS HWY
SUITE 1-C
PENSACOLA, FL32503-2720
 Phone: 850-477-0775
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Bone Densitometry Radiologic Technologist

2471B0102X
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN OSTEOPOROSIS SERVICES INC · (Female)

NPI # 1407848211
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # JR3419100
  • AL Medicaid 34252
  • FL Other 3405722 UNITED HEALTH CARE
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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