Organization
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Active
Other names
R David Heekin, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT PUCKETT MD (AUTHORIZED OFFICIAL)
(904) 634-0640
Entity
Organization
Contact information
Practice address
2627 RIVERSIDE AVE FL 3, JACKSONVILLE, FL 32204-4717
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107540800
—
FL
05
—
107540805
—
FL
05
—
107540807
—
FL
05
—
107540808
—
FL
05
—
107540810
—
FL
05
—
107540811
—
FL
05
—
107540813
—
FL
05
—
107540814
—
FL
05
—
107540816
—
FL
05
—
107540817
—
FL
05
—
107540818
—
FL
05
—
107540819
—
FL
Enumeration date
05/31/2006
Last updated
12/09/2025
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