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

Southeast Orthopedic Specialists, LLC

Organization Specialist · NPI 1730500489

Southeast Orthopedic Specialists, LLC is a Specialist in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2
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 203
Orange Park, FL 32073-5571
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

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Specialist Taxonomy 174400000X (FL)

Record details

NPI number1730500489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — Vp · (904) 634-0640
NPI enumeratedDecember 26, 2013
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

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