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1023450012
SOUTHEAST OUTPATIENT CONSULTANTS LLC
ORANGE PARK, FL
NPI
1023450012
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Entity Type
Organization
Authorized Contact
DEEVID MILLER
Registered Agent
904-421-2119
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2013-07-19
Last Update Date
2013-07-19
Business Address
SOUTHEAST OUTPATIENT CONSULTANTS LLC
1465 KINGSLEY AVE 1201
ORANGE PARK, FL 32073-4504
Phone number: 904-421-2119
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Mailing Address
SOUTHEAST OUTPATIENT CONSULTANTS LLC
1665 KINGSLEY AVE SUITE 105
ORANGE PARK, FL 32073-4490
Phone number:
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