Southeast Orthopedic Specialists, INC

NPI #1396469797 in St Johns, Florida

Provider Information

NPI Number
1396469797
Entity Type
Organization
Organization Name
Southeast Orthopedic Specialists, INC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Sep 28, 2022
Last Updated
Sep 28, 2022

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
Title
PRESIDENT
Phone
(904) 634-0640

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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