SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC (NPI# 1033223367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033223367 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC |
| Practice Address |
2030 Fleischmann Rd Tallahassee FL 32308 |
| Practice Telephone | 8502192000 |
| Practice Fax Number | 8508772138 |
| Mailing Telephone | 8502192000 |
| Mailing Fax Number | 8508772138 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-09-11 |
| Authorized Official Name | BEN J KIRBO (OWNER PRESIDENT) |
| Authorized Official Telephone | 8502192000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1216 | FL | Ambulatory Health Care Facilities |
| Street Address |
2030 FLEISCHMANN RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467494526 | Laurence Zalmon Rosenberg | Plastic Surgery | 2030 Fleischmann Rd, Southeastern Plastic Surgery, Tallahassee, FL 32308-4599 | 2006-06-12 |
| 1790256667 | Shannon Elizabeth Moninger | Nurse Practitioner | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2018-12-17 |
| 1942792635 | Brittany Decastro | Nurse Practitioner | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2018-05-30 |
| 1043579949 | Nimble Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2012-05-11 |
| 1811102494 | Kristen Snyder Costa | Physician Assistant | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2007-05-14 |
| 1043425309 | Leo Christopher Derosier | Surgery | 2030 Fleischmann Rd, Tallahassee, FL 32308 | 2007-05-11 |
| 1801989884 | Southeastern Plastic Surgery, P.a. | Surgery | 2030 Fleischmann Rd, Tallahassee, FL 32308 | 2006-10-02 |
| 1720096761 | Ben J Kirbo | Plastic Surgery | 2030 Fleischmann Rd, Tallahassee, FL 32308 | 2006-08-04 |
| 1184650483 | Lisa L. Umana | Nurse Anesthetist, Certified Registered | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2006-06-25 |
| 1598700197 | Patti Dirkse Pijut | Nurse Anesthetist, Certified Registered | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396011714 | Melbourne Surgical Services, Ll | Clinic/Center | 800 Ocala Rd Ste 300, Tallahassee, FL 32304-1670 | 2012-03-29 |
| 1609148592 | I-4 West Surgical Services, LLC | Clinic/Center | 800 Ocala Rd # 300-346, Tallahassee, FL 32304-1669 | 2012-02-07 |
| 1255634044 | Red Hills Surgical Center, LLC | Clinic/Center | 1608 Surgeons Dr, Tallahassee, FL 32308-4631 | 2010-12-16 |
| 1598096323 | Nextmed Laser, LLC | Clinic/Center | 800 Ocala Rd # 300346, Tallahassee, FL 32304-1669 | 2010-01-18 |
| 1679662001 | Webster Surgical Center of Tallahassee LLC. | Clinic/Center | 2048 Centre Pointe Ln, Tallahassee, FL 32308-4300 | 2006-10-12 |
| 1417901018 | Tallahassee Single Day Surgery Ltd | Clinic/Center | 1661 Phillips Rd, Tallahassee, FL 32308-5303 | 2006-05-19 |
| 1396702528 | Tallahassee Neurosugery Pain Management LLC | Clinic/Center | 2824 Mahan Dr, Suite 2, Tallahassee, FL 32308-5403 | 2006-05-01 |
| 1184680225 | Capital City Surgical Center LLC | Clinic/Center | 2807 Capital Medical Blvd Ste 2, Tallahassee, FL 32308-8420 | 2006-04-26 |
| 1619336971 | Broward Stone Surgical Services, LLC | Clinic/Center | 800 Ocala Rd, #300-346, Tallahassee, FL 32304-1669 | 2016-02-15 |
| 1174993679 | First Coast Surgical Services, LLC | Clinic/Center | 800 Ocala Rd, Suite 300-346, Tallahassee, FL 32304-1669 | 2015-09-28 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.