Organization
SOUTHEASTERN CLINICAL SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F BYRNES JR. PAC (PRESIDENT)
(407) 539-2000
Entity
Organization
Contact information
Practice address
4215 EDGEWATER, ORLANDO, FL 32804
(407) 539-2000
(407) 398-0050
Mailing address
4215 EDGEWATER, ORLANDO, FL 32804
(407) 539-2000
(407) 398-0050
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290643100
—
FL
Enumeration date
05/18/2006
Last updated
02/22/2012
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