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SE ORTHOPEDIC SPECIALISTS
NPI 1508221912
Non-Pharmacy Dispensing Site in Middleburg, FL

Active since December 30, 2015
1658 ST VINCENTS WAY, SUITE 100, MIDDLEBURG, FL 32068(727) 755-0693(727) 755-0679 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Se Orthopedic Specialists NPPES

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

SE ORTHOPEDIC SPECIALISTS (NPI 1508221912) is a healthcare organization registered as a non-pharmacy dispensing site in Middleburg, Florida and active in the NPI registry since December 2015. The organization lists Nicole Sisko, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1508221912
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSE ORTHOPEDIC SPECIALISTS
Location Address1658 ST VINCENTS WAY, SUITE 100Middleburg, FL 32068-8446
Mailing AddressPo Box 9830Salt Lake City, UT 84109-9830 · (727) 755-0693 · Fax (727) 755-0679
Phone(727) 755-0693
Fax(727) 755-0679
Organization SubpartNo
Authorized OfficialNicole SiskoCredentialing Specialist · (727) 755-0693
Enumeration DateDecember 30, 2015
✔ NPI 1508221912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in FL · ME80485
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1658 ST VINCENTS WAY, Middleburg, FL 32068
Open in Google Maps ↗

Other Identifiers 1

Medicare PINK4080FL

Other Providers at the Same Location NPPES 8

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

BREANA MARIE MATZEN CNM, ARNP
Advanced Practice Midwife
1658 ST VINCENTS WAY, SUITE 130
MIDDLEBURG, FL 32068
Clay County (904) 264-1628
CHARLES E. STANKARD MD
Surgery
1658 ST VINCENTS WAY, #210
MIDDLEBURG, FL 32068
Clay County (904) 214-8161
MR. LEON C CHOW MD
Specialist
1658 ST VINCENTS WAY, SUITE 300
MIDDLEBURG, FL 32068
Clay County (904) 276-5100
SHAWN RILEY
Physical Therapy Assistant
1658 ST VINCENTS WAY
MIDDLEBURG, FL 32068
Clay County (904) 214-3313
ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, INC
Internal Medicine (Cardiovascular Disease)
1658 ST VINCENTS WAY, SUITE 300
MIDDLEBURG, FL 32068
Clay County (904) 276-5100
ELIZABETH SAVU APRN, FNP-BC
Nurse Practitioner (Family)
1658 ST VINCENTS WAY
MIDDLEBURG, FL 32068
Clay County (904) 214-8050
HEATHER LYNN BARTOE PA-C
Physician Assistant
1658 ST VINCENTS WAY, SUITE 100
MIDDLEBURG, FL 32068
Clay County (904) 634-0640
PULLMONARY AND CRITICAL CARE ASSOCIATES
Internal Medicine (Pulmonary Disease)
1658 ST VINCENTS WAY, SUITE 240
MIDDLEBURG, FL 32068
Clay County (904) 276-2044

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 SE Orthopedic Specialists's NPI number?

The NPI number for SE Orthopedic Specialists is 1508221912. It was assigned to this organization in the NPPES registry on December 30, 2015.

Where is SE Orthopedic Specialists located?

SE Orthopedic Specialists is located at 1658 St Vincents Way Suite 100, Middleburg, FL 32068. The listed phone number is (727) 755-0693.

What is SE Orthopedic Specialists's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for SE Orthopedic Specialists was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.