OrganizationActive
Southeast Orthopedic Specialists, LLC
NPI 1881179638 · Orthopaedic Surgery Physician · Fleming Island, FL
Provider details
- NPI number
- 1881179638
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brett Puckett, Vp(904) 394-1282
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4565 US Highway 17 Ste 200
Fleming Island, FL 32003-4823
Phone: (904) 634-0640
Fax: (904) 634-0203
Street-level locationGet directions
Mailing address
6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203
Registry dates
- Enumerated
- 2018-09-27
- Last updated
- 2022-12-12
- Certified
- 2022-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.