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

Q: What is Southeast Orthopedic Specialists, Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since December 30, 2015

15255 MAX LEGGETT PKWY, 5TH FLOOR, JACKSONVILLE, FL 32218(727) 755-0693(727) 755-0679 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2022, Dec 30, 2015 (2 updates tracked since 2015).

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About Southeast Orthopedic Specialists, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC (NPI 1053776468) is a healthcare organization registered as a non-pharmacy dispensing site in Jacksonville, Florida and active in the NPI registry since December 2015. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1053776468

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC

Location Address15255 MAX LEGGETT PKWY, 5TH FLOORJacksonville, FL 32218-7273

Mailing AddressPo Box 9830Salt Lake City, UT 84109-9830 · (727) 755-0693 · Fax (727) 755-0679

Phone(727) 755-0693

Fax(727) 755-0679

Organization SubpartNo

Authorized OfficialBrett PuckettPresident · (904) 634-0640

Enumeration DateDecember 30, 2015

Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2022

✔ NPI 1053776468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in FL · ME80485

Definition

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.)

15255 MAX LEGGETT PKWY, Jacksonville, FL 32218

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MANSFIELD SMITH

Hearing Instrument Specialist

15255 MAX LEGGETT PKWY, SUITE 5200
JACKSONVILLE, FL 32218

Duval County (904) 694-8511

DR. JIBRI M WIGGINS MD

Obstetrics & Gynecology

15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218

Duval County (904) 383-1000

KALEENA SHIRLEY PA-C

Physician Assistant

15255 MAX LEGGETT PKWY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32218

Duval County (904) 427-7777

BRANDON CENTENO ATC, LAT

Specialist/Technologist (Athletic Trainer)

15255 MAX LEGGETT PKWY, SUITE 6600
JACKSONVILLE, FL 32218

Duval County (904) 802-5260

OANH YVONNE GREEN CRNA

Nurse Anesthetist, Certified Registered

15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218

Duval County (904) 244-4195

BRITTANY YONKER ALLSUP ARNP

Nurse Practitioner (Acute Care)

15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218

Duval County (904) 244-0411

LACY DANIELLE GULLEDGE ARNP

Nurse Practitioner (Gerontology)

15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218

Duval County (904) 244-0411

TRANSCENDENT MULTISERVICE ASSIST, LLC

Registered Nurse (Registered Nurse First Assistant)

15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218

Duval County (904) 382-1987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Orthopedic Specialists, Inc's NPI number?

The NPI number for Southeast Orthopedic Specialists, Inc is 1053776468. It was assigned to this organization in the NPPES registry on December 30, 2015.

Where is Southeast Orthopedic Specialists, Inc located?

Southeast Orthopedic Specialists, Inc is located at 15255 Max Leggett Pkwy 5th Floor, Jacksonville, FL 32218. The listed phone number is (727) 755-0693.

What is Southeast Orthopedic Specialists, Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Southeast Orthopedic Specialists, Inc was last updated on September 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.