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SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1992429039
Durable Medical Equipment & Medical Supplies in Jacksonville, FL

Active since October 03, 2022
2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL 32204(904) 634-0640 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Orthopedic Specialists, Inc NPPES

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

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC (NPI 1992429039) is a healthcare organization registered as a durable medical equipment & medical supplies in Jacksonville, Florida and active in the NPI registry since October 2022. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1992429039
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Location Address2627 RIVERSIDE AVE STE 300Jacksonville, FL 32204-4717
Mailing Address6800 Southpoint Pkwy Ste 200Jacksonville, FL 32216-6221
Phone(904) 634-0640
Organization SubpartNo
Authorized OfficialBrett PuckettPresident · (904) 634-0640
Enumeration DateOctober 3, 2022
NPPES CertifiedSeptember 29, 2022
✔ NPI 1992429039 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.
2627 RIVERSIDE AVE STE 300, Jacksonville, FL 32204
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Other Providers at the Same Location NPPES 14

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

ANDREA PARRIS APRN
Nurse Practitioner (Family)
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
ADAM ENDRESS DPT
Physical Therapist
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
CONNOR GRANT DPT
Physical Therapist
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
STEPHEN ARNDT M.D.
Orthopaedic Surgery
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
MARY K LONG PA
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
MR. TREVAINE A DAVIS PA
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
KRISTI LYNN TARDIF PA-C
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DR. RONAK ARVIND PATEL DO
Pain Medicine (Interventional Pain Medicine)
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
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, Inc's NPI number?

The NPI number for Southeast Orthopedic Specialists, Inc is 1992429039. It was assigned to this organization in the NPPES registry on October 3, 2022.

Where is Southeast Orthopedic Specialists, Inc located?

Southeast Orthopedic Specialists, Inc is located at 2627 Riverside Ave Ste 300, Jacksonville, FL 32204. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, Inc'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, Inc was last updated on October 3, 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.