Southeastern Hand Center, P.A.

LBN: Southeastern Hand Center, P.A.
Southeastern Hand Center, P.A. is an health care organization with primary practice located at 6100 Kennerly Rd Suite 202, Jacksonville FL 32216-4368. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as the primary health care specialty. Southeastern Hand Center, P.A. can be contacted via phone (904) 733-5550, or through Greider, Jack Leeland via phone (904) 733-5550.

Contact Information

Primary practice address
6100 Kennerly Rd Suite 202 Jacksonville FL 32216-4368
Phone: (904) 733-5550
Fax: (904) 733-5515
Website:
Map and Directions
Authorized official contact:
Name: Greider, Jack Leeland Doctor of Medicine (MD)
Phone: (904) 733-5550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME27693 Florida

Profile Details

NPI number 1174615918
LBN Legal business name Southeastern Hand Center, P.A.
DBA Doing business as
Authorized official Greider, Jack Leeland Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Oct 26th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174615918 NPPES
Florida MEDICAID 37943300

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