Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVAN R DUFFY MD (PRESIDENT / CEO)
(904) 634-0640
Entity
Organization
Contact information
Practice address
1658 ST VINCENTS WAY STE 100, MIDDLEBURG, FL 32068-8447
(904) 634-0640
(904) 634-0203
Mailing address
6500 BOWDEN RD, SUITE 103, JACKSONVILLE, FL 32216-8070
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
12/26/2013
Last updated
12/30/2015
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