Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

SE Orthopedic Specialists

Organization Non-Pharmacy Dispensing Site · NPI 1508221912

SE Orthopedic Specialists is a Non-Pharmacy Dispensing Site in Middleburg, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

1658 St Vincents Way Ste 100
Middleburg, FL 32068-8446
Phone: (727) 755-0693
Fax: (727) 755-0679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence ME80485 (FL)

Record details

NPI number1508221912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Sisko — Credentialing Specialist · (727) 755-0693
NPI enumeratedDecember 30, 2015
Last updated in NPPESDecember 30, 2015
Mailing addressPo Box 9830, Salt Lake City, UT 84109-9830