Southeast Orthopedic Specialists, Inc
NPI 1053776468 · Non-Pharmacy Dispensing Site · Jacksonville, FL
Southeast Orthopedic Specialists, Inc is a Non-Pharmacy Dispensing Site organization in Jacksonville, FL (NPI 1053776468).
Provider details
- NPI number
- 1053776468
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Brett Puckett, President(904) 634-0640
- License
- ME80485 (FL)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-30
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Frequently asked questions
- What is Southeast Orthopedic Specialists, Inc's NPI number?
- Southeast Orthopedic Specialists, Inc's National Provider Identifier (NPI) is 1053776468, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Orthopedic Specialists, Inc?
- Southeast Orthopedic Specialists, Inc is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Southeast Orthopedic Specialists, Inc located?
- Southeast Orthopedic Specialists, Inc's practice location on file with NPPES is 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273.
- What is Southeast Orthopedic Specialists, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southeast Orthopedic Specialists, Inc is (727) 755-0693.
- Who is the authorized official for Southeast Orthopedic Specialists, Inc?
- The authorized official listed on Southeast Orthopedic Specialists, Inc's NPPES record is Brett Puckett, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Orthopedic Specialists, Inc's NPI active?
- Yes — Southeast Orthopedic Specialists, Inc's NPI (1053776468) is active in the NPPES registry as of the last update on 2022-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.