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Organization
SOUTHEAST UNIVERSITY PHYSICIANS PLLC
Active
Organization
SOUTHEAST UNIVERSITY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN NOLAND (PRACTICE MANAGER)
(561) 799-9559
Entity
Organization
Contact information
Practice address
2560 RCA BLVD STE 106, PALM BEACH GARDENS, FL 33410-3336
(561) 799-9559
(561) 799-9577
Mailing address
2560 RCA BLVD STE 106, PALM BEACH GARDENS, FL 33410-3336
(561) 799-9559
(561) 799-9577
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NULL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
Primary
—
NULL
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
07/22/2024
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