Southeast Orthopedic Specialists, INC
NPI #1164146304 in Jacksonville, Florida
Provider Information
- NPI Number
- 1164146304
- Entity Type
- Organization
- Organization Name
- Southeast Orthopedic Specialists, INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 30, 2022
- Last Updated
- Sep 30, 2022
Practice Location
- Address
- 2 SHIRCLIFF WAY STE 605
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32204-4762
- Phone
- (904) 634-0640
Authorized Official
- Name
- BRETT PUCKETT
- Title
- PRESIDENT
- Phone
- (904) 634-0640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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