SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC - NPI 1902651821 - Durable Medical Equipment & Medical Supplies in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty 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 1902651821) is a healthcare organization registered as a durable medical equipment & medical supplies in Jacksonville, Florida and active in the NPI registry since April 2024. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1902651821

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

Location Address2110 HERSCHEL STJacksonville, FL 32204-3820

Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203

Phone(904) 634-0640

Organization SubpartNo

Authorized OfficialBrett PuckettPresident · (904) 634-0640

Enumeration DateApril 23, 2024

NPPES CertifiedApril 23, 2024

✔ NPI 1902651821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2110 HERSCHEL ST, Jacksonville, FL 32204

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