Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
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
(904) 634-0640
(904) 634-0203
Mailing address
6500 BOWDEN RD, SUITE 103, JACKSONVILLE, FL 32216-8070
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
06/13/2023
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