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
15255 MAX LEGGETT PKWY, 5TH FLOOR, JACKSONVILLE, FL 32218-7273
(727) 755-0693
(727) 755-0679
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(727) 755-0693
(727) 755-0679
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME80485
FL
Other
Enumeration date
12/30/2015
Last updated
09/29/2022
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