Southeast Orthopedic Specialists, Llc

LBN: Southeast Orthopedic Specialists, Llc
Southeast Orthopedic Specialists, Llc is an health care organization with primary practice located at 2 Shircliff Way Ste 605 , Jacksonville FL 32204-4762. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Other Service Providers / Specialist is 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
2 Shircliff Way Ste 605 Jacksonville FL 32204-4762
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
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1922615830
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 Sep 24th, 2020
Last updated Dec 12th, 2022 - about 4 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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