SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1225730070
Orthopaedic Surgery in St Johns, FL

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

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since March 17, 2023

3055 COUNTY ROAD 210 W STE 110, ST JOHNS, FL 32259(904) 634-0203 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southeast Orthopedic Specialists, Llc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC (NPI 1225730070) is a healthcare organization registered as an orthopaedic surgery in St Johns, Florida and active in the NPI registry since March 2023. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1225730070

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

Location Address3055 COUNTY ROAD 210 W STE 110St Johns, FL 32259-7001

Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203

Phone(904) 634-0203

Organization SubpartNo

Authorized OfficialBrett PuckettPresident · (904) 634-0640

Enumeration DateMarch 17, 2023

NPPES CertifiedMarch 15, 2023

✔ NPI 1225730070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3055 COUNTY ROAD 210 W STE 110, St Johns, FL 32259

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 9

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

KAYLA JEANNE STADIUS PT, DPT, EP-C

Physical Therapist