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

Southeast Orthopedic Specialists, LLC

Organization Non-Pharmacy Dispensing Site · NPI 1245091362

Southeast Orthopedic Specialists, LLC is a Non-Pharmacy Dispensing Site in Orange Park, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

2300 Park Ave Ste 206
Orange Park, FL 32073-5573
Phone: (904) 634-0640
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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 number1245091362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — President · (904) 634-0640
NPI enumeratedJanuary 16, 2024
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

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