Southeast Orthopedic Specialists, Inc
NPI 1164143905 · Non-Pharmacy Dispensing Site · St Augustine, FL
Southeast Orthopedic Specialists, Inc is a Non-Pharmacy Dispensing Site organization in St Augustine, FL (NPI 1164143905).
Provider details
- NPI number
- 1164143905
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Brett Puckett, Authorized Official(904) 634-0640
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Other names (DBA / former)
- Other name
- Southeast Orthopedic Specialists
Registry dates
- Enumerated
- 2022-09-09
- Last updated
- 2022-09-09
- Certified
- 2022-09-09
Frequently asked questions
- What is Southeast Orthopedic Specialists, Inc's NPI number?
- Southeast Orthopedic Specialists, Inc's National Provider Identifier (NPI) is 1164143905, 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 1690 US Highway 1 S, St Augustine, FL 32084-4192.
- What is Southeast Orthopedic Specialists, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southeast Orthopedic Specialists, Inc is (904) 634-0640.
- 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, Authorized Official. 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 (1164143905) is active in the NPPES registry as of the last update on 2022-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.