Southeast Orthopedic Specialists, LLC

NPI #1477058709 in Saint Johns, Florida

Provider Information

NPI Number: 1477058709
Entity Type: Organization
Organization Name: Southeast Orthopedic Specialists, LLC
Primary Specialty: Specialist
Enumeration Date: Mar 28, 2018
Last Updated: Dec 12, 2022

Practice Location

Address: 2001 COUNTY ROAD 210 W STE 200
City: Saint Johns
State: Florida
ZIP Code: 32259-2063
Phone: (904) 634-0640

Authorized Official

Name: BRETT PUCKETT
Title: VP
Phone: (904) 634-0640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Specialist	174400000X	Primary

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