OrganizationActive
Southeast Orthopedic Specialists, Inc
NPI 1003244658 · Physical Therapist · Jacksonville, FL
Provider details
- NPI number
- 1003244658
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Janet Jagunic, Credentialing Manager(904) 634-0640
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2627 Riverside Ave
3rd Floor
Jacksonville, FL 32204-4712
Phone: (904) 634-0640
Fax: (904) 634-0203
Street-level locationGet directions
Mailing address
6500 Bowden Rd
Jacksonville, FL 32216-8070
Registry dates
- Enumerated
- 2013-10-17
- Last updated
- 2015-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.