SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1104540509
Durable Medical Equipment & Medical Supplies in Jacksonville, FL

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

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since September 29, 2022

15255 MAX LEGGETT PKWY STE 5300, JACKSONVILLE, FL 32218(904) 634-0640 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1104540509) is a healthcare organization registered as a durable medical equipment & medical supplies in Jacksonville, Florida and active in the NPI registry since September 2022. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1104540509

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC

Location Address15255 MAX LEGGETT PKWY STE 5300Jacksonville, FL 32218-7274

Mailing Address6800 Southpoint Pkwy Ste 200Jacksonville, FL 32216-6221

Phone(904) 634-0640

Organization SubpartNo

Authorized OfficialBrett PuckettPresident · (904) 634-0640

Enumeration DateSeptember 29, 2022

NPPES CertifiedSeptember 29, 2022

✔ NPI 1104540509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

15255 MAX LEGGETT PKWY STE 5300, Jacksonville, FL 32218

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Other Providers at the Same Location NPPES 2

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

VICTORIA SHAW OAKLEY

Occupational Therapist

15255 MAX LEGGETT PKWY STE 5300
JACKSONVILLE, FL 32218

Duval County (904) 203-1386

NATHAN CHARVON PHAI DPT

Physical Therapist

15255 MAX LEGGETT PKWY STE 5300
JACKSONVILLE, FL 32218

Duval County (904) 634-0640

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 1104540509. It was assigned to this organization in the NPPES registry on September 29, 2022.

Where is Southeast Orthopedic Specialists, Inc located?

Southeast Orthopedic Specialists, Inc is located at 15255 Max Leggett Pkwy Ste 5300, Jacksonville, FL 32218. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.