Southeast Outpatient Consultants LLC
NPI #1023450012 in Orange Park, Florida
Provider Information
- NPI Number
- 1023450012
- Entity Type
- Organization
- Organization Name
- Southeast Outpatient Consultants LLC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Jul 19, 2013
- Last Updated
- Jul 19, 2013
Practice Location
- Address
- 1465 KINGSLEY AVE
- Address 2
- 1201
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-4504
- Phone
- (904) 421-2119
Authorized Official
- Name
- DEEVID MILLER
- Title
- REGISTERED AGENT
- Phone
- (904) 421-2119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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