Southeast Orthopedic Specialists, LLC
NPI #1669837076 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1669837076
- Entity Type
- Organization
- Organization Name
- Southeast Orthopedic Specialists, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 30, 2015
- Last Updated
- Dec 12, 2022
Practice Location
- Address
- 232 PONTE VEDRA PARK DR
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32082-6600
- Phone
- (904) 634-0640
Authorized Official
- Name
- BRETT CHRISTOPHER PUCKETT, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (904) 634-0640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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