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SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1164146304
Non-Pharmacy Dispensing Site in Jacksonville, FL

Active since September 30, 2022
2 SHIRCLIFF WAY STE 605, JACKSONVILLE, FL 32204(904) 634-0640 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 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 1164146304) is a healthcare organization registered as a non-pharmacy dispensing site 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

NPI1164146304
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Location Address2 SHIRCLIFF WAY STE 605Jacksonville, FL 32204-4762
Mailing Address6800 Southpoint Pkwy Ste 200Jacksonville, FL 32216-6221 · (904) 634-0640
Phone(904) 634-0640
Organization SubpartNo
Authorized OfficialBrett PuckettPresident · (904) 634-0640
Enumeration DateSeptember 30, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1164146304 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.)
2 SHIRCLIFF WAY STE 605, Jacksonville, FL 32204
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Other Providers at the Same Location NPPES 7

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

DR. FARID A. HAKIM M.D.
Orthopaedic Surgery
2 SHIRCLIFF WAY STE 605
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
2 SHIRCLIFF WAY STE 605
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
LOGAN SCOTT LAUDERDALE
Physician Assistant
2 SHIRCLIFF WAY STE 605
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
KIM ORTHOPEDIC LLC
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2 SHIRCLIFF WAY STE 605
JACKSONVILLE, FL 32204
Duval County (904) 328-5979
DEANNA LYNNE HELMS APRN
Nurse Practitioner (Adult Health)
2 SHIRCLIFF WAY STE 605
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
AMERE HOOSHMAND PA
Physician Assistant
2 SHIRCLIFF WAY STE 605
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Specialist
2 SHIRCLIFF WAY STE 605
JACKSONVILLE, FL 32204
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 1164146304. It was assigned to this organization in the NPPES registry on September 30, 2022.

Where is Southeast Orthopedic Specialists, Inc located?

Southeast Orthopedic Specialists, Inc is located at 2 Shircliff Way Ste 605, Jacksonville, FL 32204. 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.

When was this NPI record last updated?

The NPPES record for Southeast Orthopedic Specialists, Inc was last updated on September 30, 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.