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 1396469797

Southeast Orthopedic Specialists, Inc is a Non-Pharmacy Dispensing Site in St Johns, 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.

See every abbreviation used in this directory →

Practice location Address checks out

3055 County Road 210 W Ste 110
St Johns, FL 32259-7001
Phone: (904) 634-0640
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 number1396469797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — President · (904) 634-0640
NPI enumeratedSeptember 28, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address6800 Southpoint Pkwy Ste 200, Jacksonville, FL 32216-6221

Other providers in St Johns