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
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | ME80485 (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
- David T Harvey MD PAMOHS-Micrographic Surgery Physician Ponte Vedra Beach, FL NPI 1639198708
- Ponte Vedra Surgery CenterAmbulatory Surgical Clinic/Center Ponte Vedra Beach, FL NPI 1235168469
- Southeast Orthopedic Specialists, IncDurable Medical Equipment & Medical Supplies Ponte Vedra, FL NPI 1194449595
- Southeast Orthopedic Specialists, LLCOrthopaedic Surgery Physician Ponte Vedra Beach, FL NPI 1548681109
- Elyse Mackenzie Warren, DPTPhysical Therapist Ponte Vedra, FL NPI 1225649122
- Haille Marie Poppe, DPTPhysical Therapist Ponte Vedra Beach, FL NPI 1609638600
- James E. Hardy Iii, MDPlastic Surgery Physician Ponte Vedra Beach, FL NPI 1043400153
- John Edward Naval, DPTPhysical Therapist Ponte Vedra Beach, FL NPI 1306521836
- John Theodore Woeste Jr., MDPain Medicine (Anesthesiology) Physician Ponte Vedra Beach, FL NPI 1881684454
- Kenneth Panganiban, PTAPhysical Therapy Assistant Ponte Vedra Beach, FL NPI 1124418934
- Linsey T. ThompsonPhysician Assistant Ponte Vedra Beach, FL NPI 1073911350
- Paul Christopher Steinke, PA-CPhysician Assistant Ponte Vedra Beach, FL NPI 1003235599
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.