Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeast Orthopedic Specialists, LLC

Organization Specialist · NPI 1730500489

Southeast Orthopedic Specialists, LLC provides Specialist services in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2300 Park Ave Ste 203
Orange Park, FL 32073-5571
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Specialist Taxonomy 174400000X (FL)

Record details

NPI number1730500489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Puckett — Vp · (904) 634-0640
NPI enumeratedDecember 26, 2013
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

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