Organization · NPI-2
Southeast Clinical Research
Clinic/Center, Research · Chiefland, FL
NPI number1023430709
StatusActive
Last updated in NPPESJan 14, 2014
Details
- NPI
- 1023430709
- Entity type
- Organization (NPI-2)
- Legal business name
- Southeast Clinical Research
- Organization subpart
- No
- Enumeration date
- Jan 14, 2014
- Last updated
- Jan 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1100X | Clinic/Center, Research | – | – | Yes |
Practice location
304 Ne 1st StChiefland, FL 32626-1224
Phone 352-490-4816 · Fax 352-490-8852
Mailing address
304 Ne 1st StChiefland, FL 32626-1224
Phone 352-490-4816 · Fax 352-490-8852
Authorized official
Tammy J Parrott
Ceo
3524904816
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