Provider Demographics
NPI:1932366556
Name:SOUTHEAST MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:SOUTHEAST MEDICAL SERVICES, INC
Other - Org Name:SMS NATIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:SALEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-404-9761
Mailing Address - Street 1:280 WEKIVA SPRINGS RD STE 2000
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-6098
Mailing Address - Country:US
Mailing Address - Phone:800-404-9761
Mailing Address - Fax:888-404-9762
Practice Address - Street 1:280 WEKIVA SPRINGS RD STE 2000
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-6098
Practice Address - Country:US
Practice Address - Phone:800-404-9761
Practice Address - Fax:888-404-9762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313444332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies