Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA MORA (ANCILLARY MANAGER, PHYSICAL THERAPY)
(904) 674-2023
Entity
Organization
Contact information
Practice address
2627 RIVERSIDE AVE, SUITE 300, JACKSONVILLE, FL 32204-4712
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0203
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME80485
FL
Other
Enumeration date
01/08/2016
Last updated
07/13/2021
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