Southeast Orthopedic Specialists, LLC

NPI #1003542465 in St Johns, Florida

Provider Information

NPI Number
1003542465
Entity Type
Organization
Organization Name
Southeast Orthopedic Specialists, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 28, 2022
Last Updated
Mar 8, 2023

Practice Location

Address
3055 COUNTY ROAD 210 W STE 110
State
Florida
ZIP Code
32259-7001
Phone
(904) 634-0640

Authorized Official

Name
BRETT PUCKETT, MD
Title
MD
Phone
(904) 634-0640

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Prosthetic/Orthotic Supplier
Durable Medical Equipment & Medical Supplies

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