Southeast Orthopedic Specialists, Llc

LBN: Southeast Orthopedic Specialists, Llc
Southeast Orthopedic Specialists, Llc is an health care organization with primary practice located at 10475 Centurion Pkwy N Ste 220 , Jacksonville FL 32256-5004. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Southeast Orthopedic Specialists, Llc can be contacted via phone (904) 634-0640, or through Puckett, Brett N via phone (904) 349-0290.

Contact Information

Primary practice address
10475 Centurion Pkwy N Ste 220 Jacksonville FL 32256-5004
Phone: (904) 634-0640
Fax: (904) 674-6155
Website:
Map and Directions
Authorized official contact:
Name: Puckett, Brett N
Phone: (904) 349-0290

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1295156941
LBN Legal business name Southeast Orthopedic Specialists, Llc
DBA Doing business as
Authorized official Puckett, Brett N
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2013
Last updated Dec 12th, 2022 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1295156941 NPPES
Florida Other 74895 BCBS

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