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

NPI Status: Active since January 16, 2024

Contact Information

2300 PARK AVE STE 206
ORANGE PARK, FL
ZIP 32073
Phone: (904) 634-0640

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  • Organization
  • Non-Pharmacy Dispensing Site

About SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

This page provides the complete NPI Profile along with additional information for Southeast Orthopedic Specialists, Llc, a provider established in Orange Park, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1245091362 assigned on January 2024. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Brett Puckett (President)

NPI
1245091362
Provider Name
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Entity Type
Organization
Location Address
2300 PARK AVE STE 206 ORANGE PARK, FL 32073
Location Phone
(904) 634-0640
Mailing Address
6800 SOUTHPOINT PKWY STE 300 JACKSONVILLE, FL 32216
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2024
Last Update Date
01-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
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.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRETT PUCKETT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 634-0640

Reviews for SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245091362, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 0 → 0 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 0 + 9 + 2 + 3 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1245091362.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Hand Surgery)
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Podiatrist
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Orthopaedic Surgery
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Orthopaedic Surgery
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Chiropractor
2300 PARK AVE STE 206
ORANGE PARK, FL 32073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245091362, enumerated as an "organization" on January 16, 2024.

The provider is located at 2300 PARK AVE STE 206 ORANGE PARK, FL 32073 and the phone number is (904) 634-0640.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.