Southeastern Clinical Services,inc.
Physician Assistant, Surgical in Orlando, FL. Organization (NPI-2).
NPI number1033162011
StatusActive
Last updated in NPPESFeb 22, 2012
Details
- NPI
- 1033162011
- Entity type
- Organization (NPI-2)
- Legal business name
- Southeastern Clinical Services,inc.
- Organization subpart
- No
- Enumeration date
- May 18, 2006
- Last updated
- Feb 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
4215 EdgewaterOrlando, FL 32804
Phone 407-539-2000 · Fax 407-398-0050
Mailing address
4215 EdgewaterOrlando, FL 32804
Phone 407-539-2000 · Fax 407-398-0050
Authorized official
John F Byrnes
President
4075392000
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