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SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1972969756
Non-Pharmacy Dispensing Site in Jacksonville, FL

Active since January 08, 2016
2627 RIVERSIDE AVE, SUITE 300, JACKSONVILLE, FL 32204(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 13, 2021, Jul 8, 2021 (2 updates tracked since 2021).

About Southeast Orthopedic Specialists, Inc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC (NPI 1972969756) is a healthcare organization registered as a non-pharmacy dispensing site in Jacksonville, Florida and active in the NPI registry since January 2016. The organization lists Alexandra Mora, Ancillary Manager, Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1972969756
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Location Address2627 RIVERSIDE AVE, SUITE 300Jacksonville, FL 32204-4712
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0203 · Fax (904) 634-0203
Phone(904) 634-0640
Fax(904) 634-0203
Organization SubpartNo
Authorized OfficialAlexandra MoraAncillary Manager, Physical Therapy · (904) 674-2023
Enumeration DateJanuary 8, 2016
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1972969756 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.)
2627 RIVERSIDE AVE, Jacksonville, FL 32204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Physical Therapist
2627 RIVERSIDE AVE, 3RD FLOOR
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DR. HANAIN FAZAL DO
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
YVONNE NYAKIO KAMAU MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
DANIEL B TEAHAN PT
Physical Therapist
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
WYNONA FRANCHESCA DIZON
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
MRS. SONYA JEAN DOMINGUEZ M.D.
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
KRISTEN M. CURTIS PT
Physical Therapist (Orthopedic)
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
FARADIA PIERRE MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372

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 1972969756. It was assigned to this organization in the NPPES registry on January 8, 2016.

Where is Southeast Orthopedic Specialists, Inc located?

Southeast Orthopedic Specialists, Inc is located at 2627 Riverside Ave Suite 300, Jacksonville, FL 32204. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, Inc's specialty?

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

What insurance does Southeast Orthopedic Specialists, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 23 other insurers list Southeast Orthopedic Specialists, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Orthopedic Specialists, Inc was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.