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

Southeast Orthopedic Specialists, LLC

Organization Specialist · NPI 1114383023

Southeast Orthopedic Specialists, LLC is a Specialist in Jacksonville, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

15255 Max Leggett Pkwy 5th Fl
Jacksonville, FL 32218-7273
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1114383023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — President · (904) 634-0640
NPI enumeratedJanuary 7, 2016
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address6500 Bowden Rd, Suite 103, Jacksonville, FL 32216-8070

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