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SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1851015259
Non-Pharmacy Dispensing Site in Fleming Island, FL

Active since September 28, 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 28, 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 1851015259) is a healthcare organization registered as a non-pharmacy dispensing site 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

NPI1851015259
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Location Address4565 US HIGHWAY 17 STE 200Fleming Island, FL 32003-4823
Mailing Address6800 Southpoint PkwyJacksonville, FL 32216-6257 · (904) 634-0640
Phone(904) 634-0640
Organization SubpartNo
Authorized OfficialBrett PuckettPresident · (904) 634-0640
Enumeration DateSeptember 28, 2022
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
✔ NPI 1851015259 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.)

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.

MRS. JAMIE MOORE PTA
Physical Therapy Assistant
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Orthopaedic Surgery
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
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
SHANEL NAOUM
Chiropractor
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
JAMES BRANDON CAUSEY DPT
Physical Therapist
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640
JOSEPH MICHAEL FRUSTACI DPT
Physical Therapist
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Duval County (904) 634-0640

Frequently Asked Questions

What is SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1851015259, enumerated as an "organization" on September 28, 2022.

Where is the provider located?

The provider is located at 4565 US HIGHWAY 17 STE 200 FLEMING ISLAND, FL 32003 and the phone number is (904) 634-0640.

What is the provider's specialty?

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.