# SOUTHEASTERN HAND CENTER, P.A.

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

## Provider details

- **NPI number:** 1174615918
- **Authorized official:** DR. JACK LEELAND GREIDER JR. MD (PRESIDENT)
- **Authorized official phone:** (904) 733-5550

## Contact information

- **Practice address:** 6100 KENNERLY RD, SUITE 202, JACKSONVILLE, FL 32216-4368
- **Practice address phone:** (904) 733-5550
- **Practice address fax:** (904) 733-5515
- **Mailing address:** 6100 KENNERLY RD, SUITE 202, JACKSONVILLE, FL 32216-4368
- **Mailing address phone:** (904) 733-5550
- **Mailing address fax:** (904) 733-5515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | ME27693 | FL | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 10/26/2011