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SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1245091362
Non-Pharmacy Dispensing Site in Orange Park, FL

Active since January 16, 2024
2300 PARK AVE STE 206, ORANGE PARK, FL 32073(904) 634-0640 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Orthopedic Specialists, Llc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC (NPI 1245091362) is a healthcare organization registered as a non-pharmacy dispensing site in Orange Park, Florida and active in the NPI registry since January 2024. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1245091362
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Location Address2300 PARK AVE STE 206Orange Park, FL 32073-5573
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203
Phone(904) 634-0640
Organization SubpartNo
Authorized OfficialBrett PuckettPresident · (904) 634-0640
Enumeration DateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1245091362 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.)

2300 PARK AVE STE 206, Orange Park, FL 32073
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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.

DR. SHAUN PAUL JANSE VAN RENSBURG D.C.
Chiropractor
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Clay County (904) 634-0640
DR. ALEXIS TAM MUGNO DPM
Podiatrist
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Clay County (904) 634-0640
GUILHERME GIUSTI MD
Orthopaedic Surgery (Hand Surgery)
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Clay County (904) 634-0640
TIFFANY JOY DAVIS PA-C
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Clay County (904) 634-0640
DR. JEFFREY BLAKE BURNETTE MD
Orthopaedic Surgery
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Clay County (904) 634-0640
MR. ANTHONY PATRICK BIELLO PA-C
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Clay County (904) 634-0640
DR. MICHAEL AARON ROBINSON MD
Orthopaedic Surgery
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Clay County (904) 634-0640
ANTHONY ABATE PA-C
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Clay 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, LLC's NPI number?

The NPI number for Southeast Orthopedic Specialists, LLC is 1245091362. It was assigned to this organization in the NPPES registry on January 16, 2024.

Where is Southeast Orthopedic Specialists, LLC located?

Southeast Orthopedic Specialists, LLC is located at 2300 Park Ave Ste 206, Orange Park, FL 32073. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, LLC'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, LLC was last updated on January 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.