SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1992598734
Non-Pharmacy Dispensing Site in St Johns, FL

Q: What is Southeast Orthopedic Specialists, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since May 24, 2025

300 SAINT ELIZABETH WAY STE 210, ST JOHNS, FL 32259(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1992598734) is a healthcare organization registered as a non-pharmacy dispensing site in St Johns, Florida and active in the NPI registry since May 2025. The organization lists Brett Puckett, President, as its authorized official.

NPPES Registry Identity

NPI1992598734

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameSOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

Location Address300 SAINT ELIZABETH WAY STE 210St Johns, FL 32259-1153

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

Phone(904) 634-0640

Fax(904) 634-0203

Organization SubpartNo

Authorized OfficialBrett PuckettPresident · (904) 634-0640

Enumeration DateMay 24, 2025

NPPES CertifiedMay 24, 2025

✔ NPI 1992598734 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.)

300 SAINT ELIZABETH WAY STE 210, St Johns, FL 32259

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Other Providers at the Same Location NPPES 2

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

SINA KASRAEIAN MD

Orthopaedic Surgery (Sports Medicine)

300 SAINT ELIZABETH WAY STE 210
SAINT JOHNS, FL 32259

St. Johns County (904) 634-0640

SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

Durable Medical Equipment & Medical Supplies

300 SAINT ELIZABETH WAY STE 210
ST JOHNS, FL 32259

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 1992598734. It was assigned to this organization in the NPPES registry on May 24, 2025.

Where is Southeast Orthopedic Specialists, LLC located?

Southeast Orthopedic Specialists, LLC is located at 300 Saint Elizabeth Way Ste 210, St Johns, FL 32259. The listed phone number is (904) 634-0640.

What is Southeast Orthopedic Specialists, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.