SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1669837076
Non-Pharmacy Dispensing Site in Ponte Vedra, FL

Active since December 30, 2015
232 PONTE VEDRA PARK DR, PONTE VEDRA, FL 32082(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2022, Sep 29, 2022, Nov 17, 2021 and 1 more (4 updates tracked since 2015).

About Southeast Orthopedic Specialists, Llc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC (NPI 1669837076) is a healthcare organization registered as a non-pharmacy dispensing site in Ponte Vedra, Florida and active in the NPI registry since December 2015. The organization lists Brett Christopher Puckett, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1669837076
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Location Address232 PONTE VEDRA PARK DRPonte Vedra, FL 32082-6600
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0640 · Fax (904) 634-0203
Fax(904) 634-0203
Organization SubpartNo
Authorized OfficialBrett Christopher PuckettAuthorized Official · (904) 634-0640
Enumeration DateDecember 30, 2015
Last NPPES UpdateDecember 12, 20224 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
NPI 1669837076 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.)

232 PONTE VEDRA PARK DR, Ponte Vedra, FL 32082

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Physician Assistant
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
Plastic Surgery
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
Physician Assistant
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
Physical Therapy Assistant
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
Family Medicine (Sports Medicine)
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082
Durable Medical Equipment & Medical Supplies
232 PONTE VEDRA PARK DR
PONTE VEDRA, FL 32082
Physical Therapist
232 PONTE VEDRA PARK DR
PONTE VEDRA, FL 32082
Clinic/Center (Ambulatory Surgical)
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082

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 1669837076. It was assigned to this organization in the NPPES registry on December 30, 2015.

Where is Southeast Orthopedic Specialists, LLC located?

Southeast Orthopedic Specialists, LLC is located at 232 Ponte Vedra Park Dr, Ponte Vedra, FL 32082. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Southeast Orthopedic Specialists, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 23 other insurers list Southeast Orthopedic Specialists, LLC 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, LLC was last updated on December 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.