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QSS-SOUTHEAST CLINICAL SERVICES LLC
NPI 1740521137
Surgery in Orlando, FL

Active since March 08, 2013
4215 EDGEWATER DR, ORLANDO, FL 32804(407) 539-2000(407) 398-0050 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Qss-southeast Clinical Services Llc NPPES

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

QSS-SOUTHEAST CLINICAL SERVICES LLC (NPI 1740521137) is a healthcare organization registered as a surgery in Orlando, Florida and active in the NPI registry since March 2013. The organization lists Careen E Wilson, Manager, as its authorized official.

NPPES Registry Identity

NPI1740521137
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameQSS-SOUTHEAST CLINICAL SERVICES LLC
Location Address4215 EDGEWATER DROrlando, FL 32804-2206
Mailing AddressPo Box 4095Wayne, NJ 07470-4095 · (973) 826-8080 · Fax (866) 309-3354
Phone(407) 539-2000
Fax(407) 398-0050
Organization SubpartNo
Authorized OfficialCareen E WilsonManager · (973) 894-1263
Enumeration DateMarch 8, 2013
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1740521137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4215 EDGEWATER DR, Orlando, FL 32804
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Other Identifiers 5

Medicaid113496900FL
Other3593907FL · Uhc
Other1740521137FL · Cigna
OtherDU0724FL · Rr Medicare
Other004AHFL · Blue Cross Blue Shield Of Fl

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL EDWARD HAMMOOR PA-C
Physician Assistant (Surgical)
4215 EDGEWATER DR
ORLANDO, FL 32804
Orange County (407) 539-2000
DENISE M LIVINGSTON ARNP
Nurse Practitioner (Adult Health)
4215 EDGEWATER DR
ORLANDO, FL 32804
Orange County (407) 539-2000
PENN L MATTOX PA-C
Physician Assistant (Surgical)
4215 EDGEWATER DR
ORLANDO, FL 32804
Orange County (407) 539-2000
MICHELLE A PETTIT PAC
Physician Assistant
4215 EDGEWATER DR
ORLANDO, FL 32804
Orange County (973) 826-8291
MR. WILBERTO OLIVERA PA-C
Physician Assistant (Surgical)
4215 EDGEWATER DR
ORLANDO, FL 32804
Orange County (973) 826-8291
KENNETH E. BAKER PA-C
Physician Assistant
4215 EDGEWATER DR
ORLANDO, FL 32804
Orange County (407) 539-2000
RICHARD KENT CHAPMAN PA C
Physician Assistant (Surgical)
4215 EDGEWATER DR
ORLANDO, FL 32804
Orange County (407) 539-2000
CHRISTOPHER J KONDOR PA C
Physician Assistant (Surgical)
4215 EDGEWATER DR
ORLANDO, FL 32804
Orange County (407) 539-2000

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 Qss-Southeast Clinical Services LLC's NPI number?

The NPI number for Qss-Southeast Clinical Services LLC is 1740521137. It was assigned to this organization in the NPPES registry on March 8, 2013.

Where is Qss-Southeast Clinical Services LLC located?

Qss-Southeast Clinical Services LLC is located at 4215 Edgewater Dr, Orlando, FL 32804. The listed phone number is (407) 539-2000.

What is Qss-Southeast Clinical Services LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Qss-Southeast Clinical Services LLC was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.