Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Active
Other names
Southeast Orthopedic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT PUCKETT (AUTHORIZED OFFICIAL)
(904) 634-0640
Entity
Organization
Contact information
Practice address
1690 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4192
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 200, JACKSONVILLE, FL 32216-6221
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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