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SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1275998908
Non-Pharmacy Dispensing Site in Jacksonville, FL

Active since December 23, 2015
10475 CENTURION PKWY N, SUITE 220, JACKSONVILLE, FL 32256(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2022, Apr 21, 2020, Apr 9, 2020 and 1 more (4 updates tracked since 2015).

About Southeast Orthopedic Specialists, Inc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC (NPI 1275998908) is a healthcare organization registered as a non-pharmacy dispensing site in Jacksonville, Florida and active in the NPI registry since December 2015. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1275998908
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Location Address10475 CENTURION PKWY N, SUITE 220Jacksonville, FL 32256-5003
Mailing Address10475 Centurion Pkwy N Ste 220Jacksonville, FL 32256-5004 · (904) 634-0640 · Fax (904) 634-0203
Phone(904) 634-0640
Fax(904) 634-0203
Organization SubpartNo
Authorized OfficialBrett PuckettPresident · (904) 634-0640
Enumeration DateDecember 23, 2015
Last NPPES UpdateSeptember 29, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1275998908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in FL · ME80485
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.)

10475 CENTURION PKWY N, Jacksonville, FL 32256
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Medica and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

AFTAN NOELLE DELANEY DPT
Physical Therapist
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
ANANYA KUMAR
Technician, Other
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Duval County (904) 854-2050
DR. CONCEPCION LATOZA AGNILA M.D.
Pediatrics
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Duval County (904) 450-8090
THE SURGERY CENTER OF JACKSONVILLE, LLC
Clinic/Center (Ambulatory Surgical)
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Duval County (352) 567-6502
DR. BEVERLY DENISE MCMILLIN MD
Otolaryngology (Pediatric Otolaryngology)
10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256
Duval County (904) 398-5437
CORY GRANT PETERS PA
Physician Assistant (Surgical)
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
BRIAN D TARDIF PA
Physician Assistant (Surgical)
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
BRUCE R MADDERN MD PA
Otolaryngology (Pediatric Otolaryngology)
10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256
Duval County (904) 398-5437

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 1275998908. It was assigned to this organization in the NPPES registry on December 23, 2015.

Where is Southeast Orthopedic Specialists, Inc located?

Southeast Orthopedic Specialists, Inc is located at 10475 Centurion Pkwy N Suite 220, Jacksonville, FL 32256. 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.

What insurance does Southeast Orthopedic Specialists, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Medica, Molina Healthcare and Oscar Health Insurance and 6 other insurers list Southeast Orthopedic Specialists, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 with the weekly NPPES data releases published by CMS.