SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1396469797
Non-Pharmacy Dispensing Site in St Johns, FL

Active since September 28, 2022
3055 COUNTY ROAD 210 W STE 110, ST JOHNS, FL 32259(904) 634-0640 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 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 1396469797) is a healthcare organization registered as a non-pharmacy dispensing site in St Johns, Florida and active in the NPI registry since September 2022. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1396469797
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Location Address3055 COUNTY ROAD 210 W STE 110St Johns, FL 32259-7001
Mailing Address6800 Southpoint Pkwy Ste 200Jacksonville, FL 32216-6221 · (904) 634-0640
Organization SubpartNo
Authorized OfficialBrett PuckettPresident · (904) 634-0640
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
NPI 1396469797 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.)

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

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.

Physical Therapist
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 32259
Durable Medical Equipment & Medical Supplies
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 32259
Physical Therapist
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 32259
Orthopaedic Surgery
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 32259
Physical Therapist
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 32259
Physical Therapist
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 32259
Physician Assistant
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 32259
Physical Therapist
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 32259

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 1396469797. It was assigned to this organization in the NPPES registry on September 28, 2022.

Where is Southeast Orthopedic Specialists, Inc located?

Southeast Orthopedic Specialists, Inc is located at 3055 County Road 210 W Ste 110, St Johns, FL 32259. 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.

When was this NPI record last updated?

The NPPES record for Southeast Orthopedic Specialists, Inc was last updated on September 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.