SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC - NPI 1730815184 - Durable Medical Equipment & Medical Supplies in St Augustine, FL

Q: 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.

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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 1730815184) is a healthcare organization registered as a durable medical equipment & medical supplies in St Augustine, Florida and active in the NPI registry since July 2022. The organization lists Brett Puckett, Md, as its authorized official.

NPPES Registry Identity

NPI1730815184

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

Location Address45 GROOVER LOOP STE 201St Augustine, FL 32086-6586

Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0640 · Fax (904) 634-0640

Phone(904) 634-0640

Fax(904) 634-0203

Organization SubpartNo

Authorized OfficialBrett PuckettMd · (904) 634-0640

Enumeration DateJuly 28, 2022

Last NPPES UpdateMay 24, 20253 updates tracked since enumeration

NPPES CertifiedMay 24, 2025

✔ NPI 1730815184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X

45 GROOVER LOOP STE 201, St Augustine, FL 32086

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Other Providers at the Same Location NPPES 20

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

BRITTYN HAMER PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

ASHLEIGH ELIZABETH MAYA PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

MATTHEW MONTGOMERY PA-C

Physician Assistant

45 GROOVER LOOP STE 201
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

AHMED SALEH MD

Orthopaedic Surgery

45 GROOVER LOOP STE 201
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

ERIC G KIM DO

Orthopaedic Surgery

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

DR. KURTIS R HORT MD

Orthopaedic Surgery

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

KENDRA M BEATON PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

NOLAN A GALL MD

Physical Medicine & Rehabilitation (Pain Medicine)

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns 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 1730815184. It was assigned to this organization in the NPPES registry on July 28, 2022.

Where is Southeast Orthopedic Specialists, LLC located?

Southeast Orthopedic Specialists, LLC is located at 45 Groover Loop Ste 201, St Augustine, FL 32086. 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 May 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.