Organization
QSS-SOUTHEAST CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREEN E WILSON (MANAGER)
(973) 894-1263
Entity
Organization
Contact information
Practice address
4215 EDGEWATER DR, ORLANDO, FL 32804-2206
(407) 539-2000
(407) 398-0050
Mailing address
PO BOX 4095, WAYNE, NJ 07470-4095
(973) 826-8080
(866) 309-3354
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004AH
BLUE CROSS BLUE SHIELD OF FL
FL
05
—
113496900
—
FL
01
—
1740521137
CIGNA
FL
01
—
3593907
UHC
FL
01
—
DU0724
RR MEDICARE
FL
Enumeration date
03/08/2013
Last updated
07/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us