SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. – Specialist, NPI 1730500497

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. is a healthcare provider. based in Middleburg, Florida. specializing in Specialist. The NPI Number for SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. is 1730500497

Main info

Organization
Name
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.
NPI
1730500497
Phone
(904) 634-0640
Address
1658 ST VINCENTS WAY STE 100
Authorized Official
GAVAN R DUFFY PRESIDENT / CEO MD
Enumeration Date
26 December 2013
Last Update Date
30 December 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.

  • 1658 ST VINCENTS WAY STE 100

    MIDDLEBURG, FL 320688447

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 6500 BOWDEN RD

    SUITE 103

    JACKSONVILLE, FL 322168070

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32068)

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Reviews

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Frequently asked questions

What federal number belongs to SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.?
The federal identifier for SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. is NPI 1730500497.
Is SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. treat or focus on?
Patients typically see SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. under the specialty Other Service Providers. Clinical services aligned with this taxonomy classification.
Where is SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.'s primary listing?
We display Middleburg, Florida because that is what the record indicates for SOUTHEAST ORTHOPEDIC SPECIALISTS, INC..
What if Middleburg, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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