Southeast Orthopedic Specialists, Llc in Jacksonville - Adult Reconstructive Orthopaedic Surgery
Southeast Orthopedic Specialists, Llc - NPI 1629025820
Southeast Orthopedic Specialists, Llc is a Adult Reconstructive Orthopaedic Surgery in Jacksonville, Florida. Southeast Orthopedic Specialists, Llc practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Southeast Orthopedic Specialists, Llc is 1629025820. The last update date is 2022-12-12.
Southeast Orthopedic Specialists, Llc's current location address is 6800 Southpoint Pkwy Ste 300, Jacksonville, Florida. You can contact this provider via phone number 9046340640 and fax number 9046340203. The mailing address for Southeast Orthopedic Specialists, Llc is 6800 Southpoint Pkwy Ste 300, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Orthopedic Specialists, Llc |
|---|---|
| Address | 6800 Southpoint Pkwy Ste 300, Jacksonville, Florida |
| Phone Number | 9046340640 |
| Fax Number | 9046340203 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Puckett Brett |
| Credentials | MD |
| Telephone Number | 9046340640 |
NPI Number Detail
| NPI Number | 1629025820 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2022-12-12 |
Provider Mailing Address Detail
| Address | 6800 Southpoint Pkwy Ste 300 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322168203 |
| Phone Number | 9046340640 |
| Fax Number | 9046340203 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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What is the unique 10-digit identifier code issued to Southeast Orthopedic Specialists, Llc by the Centers for Medicare & Medicaid Services?
The Southeast Orthopedic Specialists, Llc has been assigned the NPI (National Provider Identifier) 1629025820 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Southeast Orthopedic Specialists, Llc's facilities are situated?
The facilities of Southeast Orthopedic Specialists, Llc are physically located at the following address: 6800 Southpoint Pkwy Ste 300, Jacksonville, FL, 322168203.
What is the Southeast Orthopedic Specialists, Llc's area of specialization and corresponding taxonomy classification?
The Southeast Orthopedic Specialists, Llc's specialty field is Adult Reconstructive Orthopaedic Surgery, and it falls under the taxonomy code 207Xs0114X, which categorizes healthcare providers based on their specialties.
On what date did Southeast Orthopedic Specialists, Llc receive its 1629025820 assignment from the Centers for Medicare & Medicaid Services?
The Southeast Orthopedic Specialists, Llc was assigned its 1629025820 on 2006-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Southeast Orthopedic Specialists, Llc's details last updated?
The information pertaining to the Southeast Orthopedic Specialists, Llc, including its address, specialty, and other details, was most recently updated on 2022-12-12.