Organization · Type 2 NPI

Southeast Orthopedic Specialists, Inc

Non-Pharmacy Dispensing Site · Jacksonville, FL

NPI number 1053776468 Active

Practice location

15255 Max Leggett Pkwy, 5th Floor
Jacksonville, FL 32218-7273

Call (727) 755-0693 Map

Fax (727) 755-0679

Mailing address

PO Box 9830
Salt Lake City, UT 84109-9830

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XME80485 (FL)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1053776468

Southeast Orthopedic Specialists, Inc's National Provider Identifier is 1053776468, issued on Dec 30, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 29, 2022.