Southeast Orthopedic Specialists, LLC

NPI #1225730070 in St Johns, Florida

Provider Information

NPI Number
1225730070
Entity Type
Organization
Organization Name
Southeast Orthopedic Specialists, LLC
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Mar 17, 2023
Last Updated
Mar 17, 2023

Practice Location

Address
3055 COUNTY ROAD 210 W STE 110
State
Florida
ZIP Code
32259-7001
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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