Organization · Type 2 NPI
Southeast Orthopedic Specialists, LLC
Specialist · St. Johns, FL
NPI number
1477058709
Active
Practice location
2001 County Road 210 W Ste 200
St. Johns, FL 32259-2063
Fax (904) 634-0203
Mailing address
6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
| Orthopaedic Surgery Physician | 207X00000X | None listed |
Specialist: 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.
3 other providers at this address
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About NPI 1477058709
Southeast Orthopedic Specialists, LLC's National Provider Identifier is 1477058709, issued on Mar 28, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Johns, FL. The record was last updated on Dec 12, 2022.