Southeast Orthopedic Specialists, LLC

NPI #1992598734 in St Johns, Florida

Provider Information

NPI Number
1992598734
Entity Type
Organization
Organization Name
Southeast Orthopedic Specialists, LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
May 24, 2025
Last Updated
May 24, 2025

Practice Location

Address
300 SAINT ELIZABETH WAY STE 210
State
Florida
ZIP Code
32259-1153
Phone
(904) 634-0640

Authorized Official

Name
BRETT PUCKETT, MD
Title
PRESIDENT
Phone
(904) 634-0640

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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