Organization · Type 2 NPI

Southeast Orthopedic Specialists, LLC

Non-Pharmacy Dispensing Site · Ponte Vedra, FL

NPI number 1669837076 Active

Practice location

232 Ponte Vedra Park Dr
Ponte Vedra, FL 32082-6600

Fax (904) 634-0203

Mailing address

6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203

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.)

13 other providers at this address

About NPI 1669837076

Southeast Orthopedic Specialists, LLC's National Provider Identifier is 1669837076, issued on Dec 30, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Dec 12, 2022.