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SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1649994047
Durable Medical Equipment & Medical Supplies in Fleming Island, FL

Active since September 29, 2022
4565 US HIGHWAY 17 STE 200, FLEMING ISLAND, FL 32003(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 1649994047) is a healthcare organization registered as a durable medical equipment & medical supplies in Fleming Island, Florida and active in the NPI registry since September 2022. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1649994047
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Location Address4565 US HIGHWAY 17 STE 200Fleming Island, FL 32003-4823
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 1649994047 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.
4565 US HIGHWAY 17 STE 200, Fleming Island, FL 32003
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Other Providers at the Same Location NPPES 17

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

JAMES BRANDON CAUSEY DPT
Physical Therapist
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
CHRIS LE PA-C
Physician Assistant
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
AARON MICHAEL BATES M.D.
Orthopaedic Surgery (Sports Medicine)
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
BRIANNA ELISE MYERS PA-C
Physician Assistant
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
LEE ADAM MASSIE AGACNP-BC
Nurse Practitioner (Acute Care)
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (866) 974-2673
LAURA VANESSA GARCIA
Physical Therapist
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
MORGAN ELIZABETH BRETT PA-C
Physician Assistant
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
MISS ELIZABETH SPINNEY PA-C
Physician Assistant
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
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 1649994047. 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 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003. 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.