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Southeast Orthopedic Specialists, LLC

Durable Medical Equipment & Medical Supplies in St Johns, FL · enumerated 2022 · authorized official Brett Puckett, MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003542465

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Orthopedic Specialists, LLC
Practice address 3055 County Road 210 W Ste 110, St Johns, FL, 32259
Phone (904) 634-0640
Fax (904) 634-0203
Enumeration date Jul 28, 2022
Last updated in NPPES Mar 8, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary
332BC3200X Customized Equipment (DME) Suppliers Secondary
335E00000X Prosthetic/Orthotic Supplier Suppliers Secondary

Authorized official

Name Brett Puckett
Title MD
Phone (904) 634-0640

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southeast Orthopedic Specialists, LLC?
NPPES lists Brett Puckett (MD) as the authorized official for this organization.
What is the NPI number for Southeast Orthopedic Specialists, LLC?
The NPI for Southeast Orthopedic Specialists, LLC is 1003542465, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-08.