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SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1194449595
Durable Medical Equipment & Medical Supplies in Ponte Vedra, FL

Active since September 29, 2022
232 PONTE VEDRA PARK DR, PONTE VEDRA, FL 32082(904) 634-0640 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 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 1194449595) is a healthcare organization registered as a durable medical equipment & medical supplies in Ponte Vedra, Florida and active in the NPI registry since September 2022. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1194449595
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Location Address232 PONTE VEDRA PARK DRPonte Vedra, FL 32082-6600
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 1194449595 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.
232 PONTE VEDRA PARK DR, Ponte Vedra, FL 32082
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Other Providers at the Same Location NPPES 13

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

PAUL CHRISTOPHER STEINKE PA-C
Physician Assistant
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 634-0640
MR. JAMES E HARDY III M.D.
Plastic Surgery
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-7546
LINSEY T THOMPSON
Physician Assistant
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 634-0640
KENNETH PANGANIBAN PTA
Physical Therapy Assistant
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 634-0640
STEPHAN M. ESSER M.D.
Family Medicine (Sports Medicine)
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 634-0640
ELYSE MACKENZIE WARREN DPT
Physical Therapist
232 PONTE VEDRA PARK DR
PONTE VEDRA, FL 32082
St. Johns County (904) 634-0640
PONTE VEDRA SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-7546
DR. JOHN EDWARD NAVAL DPT
Physical Therapist
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
St. Johns 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 1194449595. 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 232 Ponte Vedra Park Dr, Ponte Vedra, FL 32082. 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.