OrganizationActive
Se Orthopedic Specialists
NPI 1508221912 · Non-Pharmacy Dispensing Site · Middleburg, FL
Se Orthopedic Specialists is a Non-Pharmacy Dispensing Site organization in Middleburg, FL (NPI 1508221912).
Provider details
- NPI number
- 1508221912
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Nicole Sisko, Credentialing Specialist(727) 755-0693
- License
- ME80485 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1658 St Vincents Way
Suite 100
Middleburg, FL 32068-8446
Phone: (727) 755-0693
Fax: (727) 755-0679
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9830
Salt Lake City, UT 84109-9830
Registry dates
- Enumerated
- 2015-12-30
- Last updated
- 2015-12-30
Frequently asked questions
- What is Se Orthopedic Specialists's NPI number?
- Se Orthopedic Specialists's National Provider Identifier (NPI) is 1508221912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Se Orthopedic Specialists?
- Se Orthopedic Specialists is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Se Orthopedic Specialists located?
- Se Orthopedic Specialists's practice location on file with NPPES is 1658 St Vincents Way, Middleburg, FL 32068-8446.
- What is Se Orthopedic Specialists's phone number?
- The practice phone number listed in the NPPES registry for Se Orthopedic Specialists is (727) 755-0693.
- Who is the authorized official for Se Orthopedic Specialists?
- The authorized official listed on Se Orthopedic Specialists's NPPES record is Nicole Sisko, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Se Orthopedic Specialists's NPI active?
- Yes — Se Orthopedic Specialists's NPI (1508221912) is active in the NPPES registry as of the last update on 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.