Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Active
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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