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SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1164143905
Non-Pharmacy Dispensing Site in St Augustine, FL

Active since September 09, 2022
1690 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Southeast Orthopedic Specialists, Inc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC (NPI 1164143905) is a healthcare organization registered as a non-pharmacy dispensing site in St Augustine, Florida and active in the NPI registry since September 2022. The organization lists Brett Puckett, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164143905
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Location Address1690 US HIGHWAY 1 SSt Augustine, FL 32084-4192
Mailing Address6800 Southpoint Pkwy Ste 200Jacksonville, FL 32216-6221 · (904) 634-0640 · Fax (904) 634-0203
Phone(904) 634-0640
Fax(904) 634-0203
Organization SubpartNo
Authorized OfficialBrett PuckettAuthorized Official · (904) 634-0640
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1164143905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
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.)
1690 US HIGHWAY 1 S, St Augustine, FL 32084
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Other Names 1

Other NameSoutheast Orthopedic Specialists

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Orthopaedic Surgery
1690 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
St. Johns County (904) 634-0203
KRISTINA MARIE BRANDON DPT
Physical Therapist
1690 US HIGHWAY 1 S, SUITE A
ST AUGUSTINE, FL 32084
St. Johns County (904) 810-2101
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
1690 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
St. Johns County (904) 634-0640
LUKE JARED RETHERFORD OTR/L
Occupational Therapist (Physical Rehabilitation)
1690 US HIGHWAY 1 S
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 810-2101
STEVE FELL
Clinic/Center (Physical Therapy)
1690 US HIGHWAY 1 S, SUITE A
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 180-2101

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 1164143905. It was assigned to this organization in the NPPES registry on September 9, 2022. The provider is also known as Southeast Orthopedic Specialists.

Where is Southeast Orthopedic Specialists, Inc located?

Southeast Orthopedic Specialists, Inc is located at 1690 Us Highway 1 S, St Augustine, FL 32084. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, Inc's specialty?

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

What insurance does Southeast Orthopedic Specialists, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 13 other insurers list Southeast Orthopedic Specialists, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Orthopedic Specialists, Inc was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.