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

Southeast Orthopedic Specialists, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1164143905

Southeast Orthopedic Specialists, Inc is a Non-Pharmacy Dispensing Site in St Augustine, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

1690 US Highway 1 S
St Augustine, FL 32084-4192
Phone: (904) 634-0640
Fax: (904) 634-0203
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

Record details

NPI number1164143905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — Authorized Official · (904) 634-0640
Other names Southeast Orthopedic Specialists
NPI enumeratedSeptember 9, 2022
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022
Mailing address6800 Southpoint Pkwy Ste 200, Jacksonville, FL 32216-6221

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