Southeast Orthopedic Specialists, LLC
Southeast Orthopedic Specialists, LLC is a Non-Pharmacy Dispensing Site in Ponte Vedra, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
232 Ponte Vedra Park DrPonte Vedra, FL 32082-6600
Phone: (904) 634-0640
Fax: (904) 634-0203
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence ME80485 (FL) |
|---|
Record details
| NPI number | 1669837076 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brett Puckett — Authorized Official · (904) 634-0640 |
| NPI enumerated | December 30, 2015 |
| Last updated in NPPES | December 12, 2022 |
| Certification date | December 12, 2022 |
| Mailing address | 6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203 |