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Southeast Orthopedic Specialists, LLC

Specialist in Jacksonville, FL · enumerated 2020 · authorized official Brett Puckett, President.

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

National Provider Identifier

1922615830

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Orthopedic Specialists, LLC
Practice address 2 Shircliff Way Ste 605, Jacksonville, FL, 32204
Phone (904) 634-0640
Fax (904) 634-0203
Enumeration date Sep 24, 2020
Last updated in NPPES Dec 12, 2022

Taxonomy & classification

174400000X Specialist Other Service Providers Primary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Brett Puckett
Title President
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

Where is Southeast Orthopedic Specialists, LLC located?
The practice location on file with NPPES is in Jacksonville, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-12-12. Verify at npiregistry.cms.hhs.gov.

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