SOUTHEASTERN CLINICAL SERVICES,INC.
NPI 1033162011
Physician Assistant - Surgical in Orlando, FL

Q: What is Southeastern Clinical Services,inc.'s NPI number?

The NPI number for Southeastern Clinical Services,inc. is 1033162011. It was assigned to this organization in the NPPES registry on May 18, 2006.

Q: What is Southeastern Clinical Services,inc.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since May 18, 2006

4215 EDGEWATER, ORLANDO, FL 32804(407) 539-2000(407) 398-0050 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southeastern Clinical Services,inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN CLINICAL SERVICES,INC. (NPI 1033162011) is a healthcare organization registered as a surgical in Orlando, Florida and active in the NPI registry since May 2006. The organization lists John F Byrnes, President, as its authorized official.

NPPES Registry Identity

NPI1033162011

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameSOUTHEASTERN CLINICAL SERVICES,INC.

Location Address4215 EDGEWATEROrlando, FL 32804

Mailing Address4215 EdgewaterOrlando, FL 32804 · (407) 539-2000 · Fax (407) 398-0050

Phone(407) 539-2000

Fax(407) 398-0050

Organization SubpartNo

Authorized OfficialJohn F ByrnesPresident · (407) 539-2000

Enumeration DateMay 18, 2006

Last NPPES UpdateFebruary 22, 2012

✔ NPI 1033162011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

4215 EDGEWATER, Orlando, FL 32804

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Other Identifiers 2

Medicare ID-Type UnspecifiedK4389

Medicaid290643100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Clinical Services,inc.'s NPI number?

The NPI number for Southeastern Clinical Services,inc. is 1033162011. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Southeastern Clinical Services,inc. located?

Southeastern Clinical Services,inc. is located at 4215 Edgewater, Orlando, FL 32804. The listed phone number is (407) 539-2000.

What is Southeastern Clinical Services,inc.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Southeastern Clinical Services,inc. was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.