Southeast Orthopedic Specialists, Llc is a Specialist Clinic in Jacksonville, Florida. It is situated at 2627 Riverside Ave Fl 3, Jacksonville and its contact number is 904-634-0640. The authorized person of Southeast Orthopedic Specialists, Llc is Brett Puckett
who is Ceo of the clinic and their contact number is 904-634-0640.
Southeast Orthopedic Specialists, Llc Clinic An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Complete Profile:
Southeast Orthopedic Specialists, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Brett Puckett
Position:
Ceo
Contact Number:
904-634-0640
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southeast Orthopedic Specialists, Llc Clinic are as mentioned below.
NPI Number:
1629025820
NPI Enumeration Date:
31 May, 2006
NPI Last Update On:
12 Aug, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southeast Orthopedic Specialists, Llc are as mentioned below.
Specialization
License Number
State
Status
Orthopaedic Surgery
Primary
Specialist
Secondary
Sports Medicine
Secondary
Hand Surgery
Secondary
Adult Reconstructive Orthopaedic Surgery
Secondary
Foot and Ankle Surgery
Secondary
Sports Medicine
Secondary
Orthopaedic Trauma
Secondary
Pain Medicine
Secondary
Interventional Pain Medicine
Secondary
Podiatrist
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
107540813
Medicaid
Florida
107540814
Medicaid
Florida
107540819
Medicaid
Florida
107540818
Medicaid
Florida
107540800
Medicaid
Florida
107540805
Medicaid
Florida
107540807
Medicaid
Florida
107540810
Medicaid
Florida
107540817
Medicaid
Florida
107540816
Medicaid
Florida
107540808
Medicaid
Florida
107540811
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Southeast Orthopedic Specialists, Llc at 2627 Riverside Ave Fl 3, Jacksonville, Florida or can call to book an appointment on 904-634-0640. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.