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SE ORTHOPEDIC SPECIALISTS
NPI 1902261316
Non-Pharmacy Dispensing Site in Orange Park, FL

Active since December 30, 2015
2300 PARK AVE, SUITE 203, ORANGE PARK, FL 32073(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 1902261316) is a healthcare organization registered as a non-pharmacy dispensing site in Orange Park, Florida and active in the NPI registry since December 2015. The organization lists Nicole Sisko, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1902261316
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSE ORTHOPEDIC SPECIALISTS
Location Address2300 PARK AVE, SUITE 203Orange Park, FL 32073-5571
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 1902261316 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.)
2300 PARK AVE, Orange Park, FL 32073
Open in Google Maps ↗

Other Identifiers 1

Medicare PINK4080FL

Other Providers at the Same Location NPPES 11

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

NEDZAD CAVKA PT
Physical Therapist
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640
KRYSTAL JANE NEWBERN D.P.T.
Physical Therapist
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640
DR. PAUL A BEDNARZYK MD
Internal Medicine (Cardiovascular Disease)
2300 PARK AVE, SUITE 101-B
ORANGE PARK, FL 32073
Clay County (904) 264-0088
DRS. MCCLOW, CLARK & BERK PA
Radiology (Diagnostic Radiology)
2300 PARK AVE
ORANGE PARK, FL 32073
Clay County (904) 215-2580
PAUL DAVID SHIRLEY M.D.
Orthopaedic Surgery (Sports Medicine)
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640
TIFFANY RESHAE FLORENCE ARNP
Nurse Practitioner (Family)
2300 PARK AVE
ORANGE PARK, FL 32073
Clay County (352) 208-4154
JASON M FETTY PT
Physical Therapist
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Orthopaedic Surgery
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640

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 1902261316. 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 2300 Park Ave Suite 203, Orange Park, FL 32073. 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.