SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1881179638
Orthopaedic Surgery in Fleming Island, FL

Active since September 27, 2018
4565 US HIGHWAY 17 STE 200, FLEMING ISLAND, FL 32003(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: August 02, 2026.

Record update history: Dec 12, 2022, Dec 14, 2021, Sep 27, 2018 (3 updates tracked since 2018).

About Southeast Orthopedic Specialists, Llc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC (NPI 1881179638) is a healthcare organization registered as an orthopaedic surgery in Fleming Island, Florida and active in the NPI registry since September 2018. The organization lists Brett Puckett, Vp, as its authorized official.

NPPES Registry Identity

NPI1881179638
Entity TypeOrganization
Primary Taxonomy207X00000X
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 · (904) 394-1282
Fax(904) 634-0203
Organization SubpartNo
Authorized OfficialBrett PuckettVp · (904) 394-1282
Enumeration DateSeptember 27, 2018
Last NPPES UpdateDecember 12, 20223 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
NPI 1881179638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X
4565 US HIGHWAY 17 STE 200, Fleming Island, FL 32003

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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.

Physical Therapist
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Physician Assistant
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Orthopaedic Surgery (Sports Medicine)
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Physician Assistant
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Nurse Practitioner (Acute Care)
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Physical Therapist
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Durable Medical Equipment & Medical Supplies
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003
Physician Assistant
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 32003

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 1881179638. It was assigned to this organization in the NPPES registry on September 27, 2018.

Where is Southeast Orthopedic Specialists, LLC located?

Southeast Orthopedic Specialists, LLC is located at 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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 25 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.