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Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Active
Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT PUCKETT MD (PRESIDENT)
(904) 634-0640
Entity
Organization
Contact information
Practice address
2110 HERSCHEL ST, JACKSONVILLE, FL 32204-3820
(904) 634-0640
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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