SE ORTHOPEDIC SPECIALISTS

MIDDLEBURG, FL
NPI1508221912
Entity TypeOrganization
Authorized ContactNICOLE SISKO
Credentialing Specialist
727-755-0693
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: FL  ME80485)
Enumeration Date2015-12-30
Last Update Date2015-12-30
Business Address
SE ORTHOPEDIC SPECIALISTS
1658 ST VINCENTS WAY SUITE 100
MIDDLEBURG, FL 32068-8446
Phone number: 727-755-0693
Mailing Address
SE ORTHOPEDIC SPECIALISTS
PO BOX 9830
SALT LAKE CITY, UT 84109-9830
Phone number: 727-755-0693