SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.


Address: 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004
Phone: 9046340640

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. (NPI# 1295156941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295156941
Entity Type Organization
Organization Name SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.
Practice Address 10475 Centurion Pkwy N Ste 220
Jacksonville
FL 32256-5004
Mailing Address 6500 Bowden Rd
Suite 103
Jacksonville
FL 32216-8070
Practice Telephone 9046340640
Practice Fax Number 9046746155
Mailing Telephone 9046340640
Mailing Fax Number 9046746155
Enumeration Date 2013-12-26
Last Update Date 2018-09-27
Authorized Official Name JANET N JAGUNIC (CREDENTIALING MANAGER)
Authorized Official Telephone 9046340640
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS 74895 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922615830 Southeast Orthopedic Specialists, Inc. Orthopaedic Surgery 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 2020-09-24
1881179638 Southeast Orthopedic Specialists, Inc. Specialist 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 2018-09-27
1477058709 Southeast Orthopedic Specialists, Inc. Orthopaedic Surgery 2001 County Road 210 W Ste 200, Saint Johns, FL 32259-2063 2018-03-28
1114383023 Southeast Orthopedic Specialists, Inc. Specialist 15255 Max Leggett Pkwy, 5th Floor, Jacksonville, FL 32218-7273 2016-01-07
1730500489 Southeast Orthopedic Specialists, Inc. Specialist 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 2013-12-26
1730500497 Southeast Orthopedic Specialists, Inc. Specialist 1658 St Vincents Way Ste 100, Middleburg, FL 32068-8447 2013-12-26
1629025820 Southeast Orthopedic Specialists, Inc. Orthopaedic Surgery 2627 Riverside Ave, 3rd Floor, Jacksonville, FL 32204-4712 2006-05-31

Office Location

Street Address 10475 CENTURION PKWY N STE 220
City JACKSONVILLE
State FL
Zip Code 32256-5004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114571312 Tashia Marie Santiago Registered Nurse 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 2019-07-26
1053825372 Victoria Christine Morrow Physical Therapy Assistant 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 2017-11-22
1073030599 Angelia M. Johnson Physical Therapy Assistant 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 2017-08-25
1144757790 Hannah R. Coxwell Physical Therapy Assistant 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 2017-05-15
1205363850 Paereak Meng Physical Therapy Assistant 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 2017-05-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1093327702 Oaktree Dental LLC Clinic/Center 14595 Philips Highway, Jacksonville, FL 32256 2020-08-24
1538787866 Tywanna Council Massage Therapist 4720 Salisbury Road #102, Jacksonville, FL 32256 2020-07-13
1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
Find all providers in zip 32256

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437768033 Coastal Injury Clinic LLC Specialist 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 2020-07-29
1255957643 Rhonda D Smith Roberts Specialist 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 2020-06-22
1437620986 Nicole Azaan Specialist 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 2018-12-10
1598251910 Allionz LLC Specialist 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 2018-07-09
1093236531 Leah F Friedman Specialist 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 2017-07-06
1609301993 Oakleaf Injury and Pain Center LLC Specialist 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 2017-04-25
1982070140 Riverside Spine & Pain Physicians, LLC Specialist 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 2015-08-11
1235525239 Elizabeth Wehr Specialist 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 2015-04-07
1053705236 Orthowilmington, Pa Specialist 3382 Henderson Dr, Jacksonville, NC 28546-5230 2015-03-25
1750627725 Scott A Entsminger Specialist 13947 Beach Blvd Ste 109, Jacksonville, FL 32224-1201 2012-12-20
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32256

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Dataset Information

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.

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