Organization
SOUTHERN EMERGENCY SERVICES I PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLE S PECK MD (TREASURER)
(386) 274-7862
Entity
Organization
Contact information
Practice address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 888-8400
(573) 888-6688
Mailing address
PO BOX 10800, DAYTONA BEACH, FL 32120-0800
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/05/2010
Last updated
04/16/2010
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