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 1164146304

Southeast Orthopedic Specialists, Inc is a Non-Pharmacy Dispensing Site in Jacksonville, 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

2 Shircliff Way Ste 605
Jacksonville, FL 32204-4762
Phone: (904) 634-0640
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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

Record details

NPI number1164146304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — President · (904) 634-0640
NPI enumeratedSeptember 30, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 28, 2022
Mailing address6800 Southpoint Pkwy Ste 200, Jacksonville, FL 32216-6221

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