# SOUTHEASTERN CLINICAL SERVICES,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033162011
- **Authorized official:** JOHN F BYRNES JR. PAC (PRESIDENT)
- **Authorized official phone:** (407) 539-2000

## Contact information

- **Practice address:** 4215 EDGEWATER, ORLANDO, FL 32804
- **Practice address phone:** (407) 539-2000
- **Practice address fax:** (407) 398-0050
- **Mailing address:** 4215 EDGEWATER, ORLANDO, FL 32804
- **Mailing address phone:** (407) 539-2000
- **Mailing address fax:** (407) 398-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 02/22/2012