Southeast Orthopedic Specialists, LLC
NPI #1144921115 in St Augustine, Florida
Provider Information
- NPI Number
- 1144921115
- Entity Type
- Organization
- Organization Name
- Southeast Orthopedic Specialists, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Mar 15, 2023
- Last Updated
- Mar 15, 2023
Practice Location
- Address
- 1690 US HIGHWAY 1 S
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-4192
- Phone
- (904) 634-0203
Authorized Official
- Name
- BRETT PUCKETT
- Title
- PRESIDENT
- Phone
- (904) 634-0640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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