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SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1487378881
Durable Medical Equipment & Medical Supplies in Jacksonville, FL

Active since September 29, 2022
10475 CENTURION PKWY N STE 220, JACKSONVILLE, FL 32256(904) 634-0640 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2022, Sep 29, 2022 (2 updates tracked since 2022).

About Southeast Orthopedic Specialists, Llc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC (NPI 1487378881) is a healthcare organization registered as a durable medical equipment & medical supplies in Jacksonville, Florida and active in the NPI registry since September 2022. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1487378881
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Location Address10475 CENTURION PKWY N STE 220Jacksonville, FL 32256-5004
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203
Phone(904) 634-0640
Organization SubpartNo
Authorized OfficialBrett PuckettPresident · (904) 634-0640
Enumeration DateSeptember 29, 2022
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
✔ NPI 1487378881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
10475 CENTURION PKWY N STE 220, Jacksonville, FL 32256
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Other Providers at the Same Location NPPES 18

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

GIANPAOLO ANTONINO PASSEGGIATA DC
Chiropractor
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
VICTORIA CHRISTINE MORROW PTA
Physical Therapy Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
ANGELIA M. JOHNSON PT, DPT
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
TASHIA MARIE SANTIAGO
Registered Nurse (Registered Nurse First Assistant)
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
MR. ANDREW JOHN BRINSKO PA-C
Physician Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
HANNAH R. COXWELL PTA
Physical Therapy Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
DR. VICKI LE DPT
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
MR. WADE CUTCHINS ADAMS PA
Physician Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Duval 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 1487378881. It was assigned to this organization in the NPPES registry on September 29, 2022.

Where is Southeast Orthopedic Specialists, LLC located?

Southeast Orthopedic Specialists, LLC is located at 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Southeast Orthopedic Specialists, LLC was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.