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

Q: What is the provider's specialty?

The provider's specialty is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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: July 19, 2026.

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

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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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