Southeast Orthopedic Specialists, INC

NPI #1003244658 in Jacksonville, Florida

Provider Information

NPI Number: 1003244658
Entity Type: Organization
Organization Name: Southeast Orthopedic Specialists, INC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 17, 2013
Last Updated: Dec 30, 2015

Practice Location

Address: 2627 RIVERSIDE AVE
Address 2: 3RD FLOOR
City: Jacksonville
State: Florida
ZIP Code: 32204-4712
Phone: (904) 634-0640

Authorized Official

Name: JANET JAGUNIC
Title: CREDENTIALING MANAGER
Phone: (904) 634-0640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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