| Southeast Superior Health | |
|
2592 Ashford Ct Orange Park FL 32073 | |
| (904) 742-3567 | |
| Not Available |
| Full Name | Southeast Superior Health |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 2592 Ashford Ct, Orange Park, Florida |
| Authorized Official Name and Position | Eric J Weisz (CEO) |
| Authorized Official Contact | 9047423567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Superior Health 2592 Ashford Ct Orange Park FL 32073 Ph: (904) 742-3567 | Southeast Superior Health 2592 Ashford Ct Orange Park FL 32073 Ph: (904) 742-3567 |
| NPI Number | 1326885500 |
|---|---|
| Provider Enumeration Date | 07/13/2024 |
| Last Update Date | 07/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326885500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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