Southeast Orthopedic Specialists, Llc

LBN: Southeast Orthopedic Specialists, Llc
Southeast Orthopedic Specialists, Llc is an health care organization with primary practice located at 3055 County Road 210 W Ste 110 , St Johns FL 32259-7001. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Southeast Orthopedic Specialists, Llc can be contacted via phone (904) 634-0640, or through Puckett, Brett via phone (904) 634-0640.

Contact Information

Primary practice address
3055 County Road 210 W Ste 110 St Johns FL 32259-7001
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
Map and Directions
Authorized official contact:
Name: Puckett, Brett Doctor of Medicine (MD)
Phone: (904) 634-0640

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1003542465
LBN Legal business name Southeast Orthopedic Specialists, Llc
DBA Doing business as
Authorized official Puckett, Brett Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2022
Last updated Mar 8th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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