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 1992598734

Southeast Orthopedic Specialists, LLC is a Non-Pharmacy Dispensing Site in St Johns, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

300 Saint Elizabeth Way Ste 210
St Johns, FL 32259-1153
Phone: (904) 634-0640
Fax: (904) 634-0203
Show map & directions

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 number1992598734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — President · (904) 634-0640
NPI enumeratedMay 24, 2025
Last updated in NPPESMay 24, 2025
Certification dateMay 24, 2025
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

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