NPI Index

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

Orthopaedic Surgery

Active Organization
NPI: 1629025820

Practice Address

2627 RIVERSIDE AVE FL 3
Jacksonville, FL 32204

Phone: (904) 634-0640

Specialties

Specialty Code Primary License
Pain Medicine - Interventional Pain Medicine 208VP0014X No -
Pain Medicine - Pain Medicine 208VP0000X No -
Podiatrist 213E00000X No -
Specialist 174400000X No -
Orthopaedic Surgery - Hand Surgery 207XS0106X No -
Orthopaedic Surgery - Foot and Ankle Surgery 207XX0004X No -
Family Medicine - Sports Medicine 207QS0010X No -
Orthopaedic Surgery - Sports Medicine 207XX0005X No -
Orthopaedic Surgery - Orthopaedic Trauma 207XX0801X No -
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 207XS0114X No -
Orthopaedic Surgery 207X00000X Yes -

Frequently Asked Questions

NPI 1629025820 is the National Provider Identifier for SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC, a Orthopaedic Surgery provider located in Jacksonville, FL. This NPI was enumerated on May 31, 2006.

Quick Facts

NPI
1629025820
Type
Organization
Enumerated
May 31, 2006
Last Updated
Dec 9, 2025

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