Southeast Orthopedic Specialists, Llc

LBN: Southeast Orthopedic Specialists, Llc
Southeast Orthopedic Specialists, Llc is an health care organization with primary practice located at 232 Ponte Vedra Park Dr , Ponte Vedra FL 32082-6600. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Southeast Orthopedic Specialists, Llc can be contacted via phone (904) 634-0640, or through Puckett, Brett Christopher via phone (904) 634-0640.

Contact Information

Primary practice address
232 Ponte Vedra Park Dr Ponte Vedra FL 32082-6600
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
Map and Directions
Authorized official contact:
Name: Puckett, Brett Christopher Doctor of Medicine (MD)
Phone: (904) 634-0640

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X ME80485 Florida

Profile Details

NPI number 1669837076
LBN Legal business name Southeast Orthopedic Specialists, Llc
DBA Doing business as
Authorized official Puckett, Brett Christopher Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2015
Last updated Dec 12th, 2022 - about 3 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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