Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Outpatient Consultants LLC

Organization Anesthesiology Physician · NPI 1023450012

Southeast Outpatient Consultants LLC is an Anesthesiology Physician in Orange Park, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1465 Kingsley Ave 1201
Orange Park, FL 32073-4504
Phone: (904) 421-2119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1023450012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deevid Miller — Registered Agent · (904) 421-2119
NPI enumeratedJuly 19, 2013
Last updated in NPPESJuly 19, 2013
Mailing address1665 Kingsley Ave, Suite 105, Orange Park, FL 32073-4490

Other providers in Orange Park