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 1134820103

Southeast Orthopedic Specialists, LLC is an Orthopaedic Surgery Physician in St Augustine, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

216 Southpark Cir E Ste 216
St Augustine, FL 32086-5135
Phone: (904) 634-0203
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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 number1134820103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — President · (904) 634-0640
NPI enumeratedMarch 15, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

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