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Organization

SOUTHEASTERN SURGICAL GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT D SNYDER MD (PRESIDENT)
(850) 877-5183
Entity
Organization

Contact information

Practice address
1401 CENTERVILLE ROAD, SUITE 100, TALLAHASSEE, FL 32308
(850) 877-5183
(850) 656-1288
Mailing address
1401 CENTERVILLE ROAD, SUITE 100, TALLAHASSEE, FL 32308
(850) 877-5183
(850) 656-1288

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
10/16/2006
Last updated
07/17/2008
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