1730500497 NPI number — SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.

Table of content: (NPI 1730500497)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730500497 NPI number — SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730500497
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6500 BOWDEN RD
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32216-8070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-634-0640
Provider Business Mailing Address Fax Number:
904-634-0203

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1658 ST VINCENTS WAY STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLEBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32068-8447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-634-0640
Provider Business Practice Location Address Fax Number:
904-634-0203
Provider Enumeration Date:
12/26/2013

Additional Information

Authorized Official

Authorized Official Last Name:
DUFFY
Authorized Official First Name:
GAVAN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT / CEO
Authorized Official Telephone Number:
904-634-0640

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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