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

Southeast Orthopedic Specialists, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1053776468

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

Licensed in
FL
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15255 Max Leggett Pkwy 5th Fl
Jacksonville, FL 32218-7273
Phone: (727) 755-0693
Fax: (727) 755-0679
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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 number1053776468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — President · (904) 634-0640
NPI enumeratedDecember 30, 2015
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing addressPo Box 9830, Salt Lake City, UT 84109-9830

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