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SOUTHEAST ORTHOPEDIC SPECIALISTS, INC.
NPI 1730500497
Specialist in Middleburg, FL

Active since December 26, 2013
1658 ST VINCENTS WAY STE 100, MIDDLEBURG, FL 32068(904) 634-0640(904) 634-0203 Get Directions Write a Review

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

About Southeast Orthopedic Specialists, Inc. NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC. (NPI 1730500497) is a healthcare organization registered as a specialist in Middleburg, Florida and active in the NPI registry since December 2013. The organization lists Gavan R Duffy, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1730500497
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC.
Location Address1658 ST VINCENTS WAY STE 100Middleburg, FL 32068-8447
Mailing Address6500 Bowden Rd, Suite 103Jacksonville, FL 32216-8070 · (904) 634-0640 · Fax (904) 634-0203
Phone(904) 634-0640
Fax(904) 634-0203
Organization SubpartNo
Authorized OfficialGavan R DuffyPresident / Ceo · (904) 634-0640
Enumeration DateDecember 26, 2013
Last NPPES UpdateDecember 30, 2015
✔ NPI 1730500497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1658 ST VINCENTS WAY STE 100, Middleburg, FL 32068
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Other Identifiers 2

Medicare PINK4080FL
Medicare NSC4185690005FL

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 2

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

DR. MATTHEW KHEIR MD
Internal Medicine (Pulmonary Disease)
1658 ST VINCENTS WAY STE 100
MIDDLEBURG, FL 32068
Clay County (904) 602-4481
DR. MICHAEL HANNA M.D
Hospitalist
1658 ST VINCENTS WAY STE 100
MIDDLEBURG, FL 32068
Clay County (904) 602-4481

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 Southeast Orthopedic Specialists, Inc.'s NPI number?

The NPI number for Southeast Orthopedic Specialists, Inc. is 1730500497. It was assigned to this organization in the NPPES registry on December 26, 2013.

Where is Southeast Orthopedic Specialists, Inc. located?

Southeast Orthopedic Specialists, Inc. is located at 1658 St Vincents Way Ste 100, Middleburg, FL 32068. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southeast Orthopedic Specialists, Inc. 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.