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

Southeast Orthopedic Specialists, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1467188821

Southeast Orthopedic Specialists, LLC is a Durable Medical Equipment & Medical Supplies in St Augustine, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
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

1690 US Highway 1 S
St Augustine, FL 32084-4192
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

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Customized Equipment (DME) Taxonomy 332BC3200X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1467188821
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoutheast Orthopedic Specialists, Inc
Authorized official Brett Puckett — Md · (904) 634-0640
NPI enumeratedJuly 28, 2022
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

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