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

Southeast Orthopedic Specialists, LLC

Organization Orthopaedic Surgery Physician · NPI 1013629708

Southeast Orthopedic Specialists, LLC is an Orthopaedic Surgery Physician in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 32223-8800
Phone: (904) 634-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1013629708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — Vp · (904) 634-0640
NPI enumeratedDecember 14, 2022
Last updated in NPPESDecember 14, 2022
Certification dateSeptember 28, 2022
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

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