| Organization Name: | SOUTHEAST CLINICAL RESEARCH |
| NPI Number: | 1023430709 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMMY J PARROTT (CEO) |
| Mailing Address: | 304 Ne 1st St Chiefland |
| State: | FL US |
| Postal Code: | 326261224 |
| Phone Number: | 3524904816 |
| Fax Number: | 3524908852 |
| NPI Enumeration Date: | 01/14/2014 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Research |
| Taxonomy Definition: | |