SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC – NPI #1033223367
Clinic/Center

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SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC is an AHC clinic located in TALLAHASSEE, FL. NPPES has assigned the NPI number 1033223367 to SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC on August 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 12 years ago on Sep 11, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC below.

NPI Profile for
SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC

NPI Number

1033223367

Enumeration Date

Aug 17, 2006
(about 20 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC

Primary location

2030 FLEISCHMANN RD
TALLAHASSEE, FL 32308

Phone: (850) 219-2000 Fax: (850) 877-2138

Mailing address

Same as primary location

Organization Subpart

Authorized Official

BEN KIRBO
OWNER PRESIDENT
Phone: (850) 219-2000

Updated

Sep 11, 2014

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
261QA1903X - Clinic/Center / Ambulatory Surgical (Primary)	FL	1216

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.