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Southeast Orthopedic Specialists, LLC

Orthopaedic Surgery Physician in Jacksonville, FL · enumerated 2022 · authorized official Brett Puckett, Vp.

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

National Provider Identifier

1013629708

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Orthopedic Specialists, LLC
Practice address 4268 Oldfield Crossing Dr Ste 201, Jacksonville, FL, 32223
Phone (904) 634-0640
Enumeration date Dec 14, 2022
Last updated in NPPES Dec 14, 2022

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Brett Puckett
Title Vp
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

What is the NPI number for Southeast Orthopedic Specialists, LLC?
The NPI for Southeast Orthopedic Specialists, LLC is 1013629708, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southeast Orthopedic Specialists, LLC?
NPPES lists Brett Puckett (Vp) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-14.