Southeast Orthopedic Specialists, Llc

Orthopaedic Surgery Clinic



 14534 Old Saint Augustine Rd Ste 3210, Jacksonville
    Florida, 32258-2645

 904-675-4000    904-675-4007   Maps & Directions
Southeast Orthopedic Specialists, Llc is a Specialist Clinic in Jacksonville, Florida. It is situated at 14534 Old Saint Augustine Rd Ste 3210, Jacksonville and its contact number is 904-675-4000. The authorized person of Southeast Orthopedic Specialists, Llc is Brett Puckett who is Authorized Official 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.
Specialization: Specialist
Clinic Address:14534 Old Saint Augustine Rd Ste 3210, Jacksonville,
Florida, 32258-2645
Phone:904-675-4000
Fax:904-675-4007
Authorized/Official Person Profile:
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: Authorized Official
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: 10 Jun, 2026
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.
SpecializationLicense NumberStateStatus
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.
IdentifierTypeStateIssuer
107540813MedicaidFlorida
107540814MedicaidFlorida
107540819MedicaidFlorida
107540818MedicaidFlorida
107540800MedicaidFlorida
107540805MedicaidFlorida
107540807MedicaidFlorida
107540810MedicaidFlorida
107540817MedicaidFlorida
107540816MedicaidFlorida
107540808MedicaidFlorida
107540811MedicaidFlorida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Southeast Orthopedic Specialists, Llc
Po Box 14009,
Belfast, Maine
Zip: 04915-4031
Phone Number: 904-396-1725
Fax Number: 904-396-4893
Patients can reach Southeast Orthopedic Specialists, Llc at 14534 Old Saint Augustine Rd Ste 3210, Jacksonville, Florida or can call to book an appointment on 904-675-4000.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.