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SOUTHEASTERN HAND CENTER, P.A.
NPI 1174615918
Orthopaedic Surgery - Hand Surgery in Jacksonville, FL

Active since September 29, 2006
6100 KENNERLY RD, SUITE 202, JACKSONVILLE, FL 32216(904) 733-5550(904) 733-5515 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Hand Center, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN HAND CENTER, P.A. (NPI 1174615918) is a healthcare organization registered as a hand surgery in Jacksonville, Florida and active in the NPI registry since September 2006. The organization lists Jack Leeland Greider, President, as its authorized official.

NPPES Registry Identity

NPI1174615918
Entity TypeOrganization
Primary Taxonomy207XS0106X
Legal Business NameSOUTHEASTERN HAND CENTER, P.A.
Location Address6100 KENNERLY RD, SUITE 202Jacksonville, FL 32216-4368
Mailing Address6100 Kennerly Rd, Suite 202Jacksonville, FL 32216-4368 · (904) 733-5550 · Fax (904) 733-5515
Phone(904) 733-5550
Fax(904) 733-5515
Organization SubpartNo
Authorized OfficialJack Leeland GreiderPresident · (904) 733-5550
Enumeration DateSeptember 29, 2006
Last NPPES UpdateOctober 26, 2011
✔ NPI 1174615918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in FL · ME27693
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
6100 KENNERLY RD, Jacksonville, FL 32216
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Other Identifiers 3

Medicare UPIND65831FL
Medicaid37943300FL
Medicare PINFH682AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH COOPER PT
Physical Therapist
6100 KENNERLY RD, SUITE 201
JACKSONVILLE, FL 32216
Duval County (904) 636-5335
GREGORY RUSSELL MARSHALL MOTR/L
Occupational Therapist
6100 KENNERLY RD, SUITE 203
JACKSONVILLE, FL 32216
Duval County (904) 739-9757
NICOLE RADEMACHER
Physical Therapy Assistant
6100 KENNERLY RD
JACKSONVILLE, FL 32216
Duval County (904) 739-9901
DR. GEORGES ABDO EL BAHRI M.D.
Orthopaedic Surgery (Sports Medicine)
6100 KENNERLY RD, SUITE 101
JACKSONVILLE, FL 32216
Duval County (904) 739-0050
DR. JACK LEELAND GREIDER JR. M.D.
Orthopaedic Surgery (Hand Surgery)
6100 KENNERLY RD, SUITE 202
JACKSONVILLE, FL 32216
Duval County (904) 733-5550
DR. JOHN C CRICK M.D.
Orthopaedic Surgery (Hand Surgery)
6100 KENNERLY RD, SUITE 101
JACKSONVILLE, FL 32216
Duval County (904) 739-0050
MISS GINA BRUNETTI PT, DPT
Physical Therapist (Orthopedic)
6100 KENNERLY RD
JACKSONVILLE, FL 32216
Duval County (904) 739-9901
SOUTHEASTERN HAND REHABILITATION INC.
Clinic/Center (Physical Therapy)
6100 KENNERLY RD, SUITE 203
JACKSONVILLE, FL 32216
Duval County (904) 739-9757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Hand Center, P.A.'s NPI number?

The NPI number for Southeastern Hand Center, P.A. is 1174615918. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Southeastern Hand Center, P.A. located?

Southeastern Hand Center, P.A. is located at 6100 Kennerly Rd Suite 202, Jacksonville, FL 32216. The listed phone number is (904) 733-5550.

What is Southeastern Hand Center, P.A.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

When was this NPI record last updated?

The NPPES record for Southeastern Hand Center, P.A. was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.