Southeast Orthopedic Specialists, LLC
NPI #1114383023 in Jacksonville, Florida
Provider Information
- NPI Number
- 1114383023
- Entity Type
- Organization
- Organization Name
- Southeast Orthopedic Specialists, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 7, 2016
- Last Updated
- Jun 13, 2023
Practice Location
- Address
- 15255 MAX LEGGETT PKWY
- Address 2
- 5TH FLOOR
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32218-7273
- Phone
- (904) 634-0640
Authorized Official
- Name
- BRETT PUCKETT
- Title
- PRESIDENT
- Phone
- (904) 634-0640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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