SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1053776468
Non-Pharmacy Dispensing Site in Jacksonville, FL

NPI Status: Active since December 30, 2015

Contact Information

15255 MAX LEGGETT PKWY
5TH FLOOR
JACKSONVILLE, FL
ZIP 32218
Phone: (727) 755-0693
Fax: (727) 755-0679

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  • Organization
  • Non-Pharmacy Dispensing Site

About SOUTHEAST ORTHOPEDIC SPECIALISTS, INC

This page provides the complete NPI Profile along with additional information for Southeast Orthopedic Specialists, Inc, a provider established in Jacksonville, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1053776468 assigned on December 2015. The practitioner's primary taxonomy code is 332900000X with license number ME80485 (FL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Brett Puckett (President)

NPI
1053776468
Provider Name
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Entity Type
Organization
Location Address
15255 MAX LEGGETT PKWY 5TH FLOOR JACKSONVILLE, FL 32218
Location Phone
(727) 755-0693
Location Fax
(727) 755-0679
Mailing Address
PO BOX 9830 SALT LAKE CITY, UT 84109
Mailing Phone
(727) 755-0693
Mailing Fax
(727) 755-0679
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2015
Last Update Date
09-29-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
ME80485
License State
FL
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRETT PUCKETT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 634-0640

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053776468, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 7 + 1 + 2 + 4 + 1 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1053776468.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Hearing Instrument Specialist
15255 MAX LEGGETT PKWY, SUITE 5200
JACKSONVILLE, FL 32218
Obstetrics & Gynecology
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Physician Assistant
15255 MAX LEGGETT PKWY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32218
Specialist/Technologist (Athletic Trainer)
15255 MAX LEGGETT PKWY, SUITE 6600
JACKSONVILLE, FL 32218
Nurse Anesthetist, Certified Registered
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Nurse Practitioner (Acute Care)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Nurse Practitioner (Gerontology)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Registered Nurse (Registered Nurse First Assistant)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Internal Medicine
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Physician Assistant
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Social Worker (Clinical)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Specialist/Technologist (Athletic Trainer)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Social Worker (Clinical)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Internal Medicine
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Emergency Medicine
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053776468, enumerated as an "organization" on December 30, 2015.

The provider is located at 15255 MAX LEGGETT PKWY 5TH FLOOR JACKSONVILLE, FL 32218 and the phone number is (727) 755-0693.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.