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SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1710770557
Non-Pharmacy Dispensing Site in Jacksonville, FL

Active since May 24, 2025
10475 CENTURION PKWY N STE 301, JACKSONVILLE, FL 32256(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Orthopedic Specialists, Llc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC (NPI 1710770557) is a healthcare organization registered as a non-pharmacy dispensing site in Jacksonville, Florida and active in the NPI registry since May 2025. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1710770557
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Location Address10475 CENTURION PKWY N STE 301Jacksonville, FL 32256-5004
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203
Phone(904) 634-0640
Fax(904) 634-0203
Organization SubpartNo
Authorized OfficialBrett PuckettPresident · (904) 634-0640
Enumeration DateMay 24, 2025
NPPES CertifiedMay 24, 2025
✔ NPI 1710770557 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.)
10475 CENTURION PKWY N STE 301, Jacksonville, FL 32256
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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.

GABRIELLE MARIE ZABLAN PA-C
Physician Assistant
10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
CY GARRETT NAVEJAR PA-C
Physician Assistant
10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
DR. COLIN PALMER MURPHY MD
Orthopaedic Surgery
10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
WILLIAM RYAN SUTTON PA-C
Physician Assistant
10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
MAX AARON HOROVITZ PH.D.
Psychologist (Clinical)
10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL 32256
Duval County (904) 308-3751
SARA CATHERINE LARGEN MD
Pediatrics
10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL 32256
Duval County (904) 450-8090
PAUL D STURNEY PA-C
Physician Assistant
10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
EARL NORMAN MILLER III PA-C
Physician Assistant
10475 CENTURION PKWY N STE 301
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 1710770557. It was assigned to this organization in the NPPES registry on May 24, 2025.

Where is Southeast Orthopedic Specialists, LLC located?

Southeast Orthopedic Specialists, LLC is located at 10475 Centurion Pkwy N Ste 301, 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 Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Southeast Orthopedic Specialists, LLC was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.