SOUTHEASTERN CLINICAL SERVICES,INC.; NPI #1033162011

Contact Information

SOUTHEASTERN CLINICAL SERVICES,INC.

4215 EDGEWATER
ORLANDO, FL 32804

Phone: 407-539-2000
Fax: 407-398-0050
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for SOUTHEASTERN CLINICAL SERVICES,INC.

NPI Number 1033162011

LBN Legal business name SOUTHEASTERN CLINICAL SERVICES,INC.

Authorized official JOHN BYRNES - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/18/2006

Last updated 02/22/2012 - About 14 years ago

Identifiers

Medicaid

290643100

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTHEASTERN CLINICAL SERVICES,INC.

Contact Information

Specialty

Surgical

NPI Profile & details for SOUTHEASTERN CLINICAL SERVICES,INC.

Reviews for SOUTHEASTERN CLINICAL SERVICES,INC.