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 1225730070

Southeast Orthopedic Specialists, LLC is an Orthopaedic Surgery Physician in St Johns, 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

3055 County Road 210 W Ste 110
St Johns, FL 32259-7001
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 number1225730070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — President · (904) 634-0640
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 17, 2023
Certification dateMarch 15, 2023
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

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