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Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Active
Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT PUCKETT (PRESIDENT)
(904) 634-0640
Entity
Organization
Contact information
Practice address
2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL 32204-4717
(904) 634-0640
Mailing address
6800 SOUTHPOINT PKWY STE 200, JACKSONVILLE, FL 32216-6221
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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