Southeast Orthopedic Specialists, Llc
Durable Medical Equipment & Medical Supplies
45 Groover Loop Ste 201, St Augustine
Florida, 32086-6586
904-634-0640 904-634-0203
Southeast Orthopedic Specialists, Llc is a Durable Medical Equipment & Medical Supplies in St Augustine, Florida. It is located at 45 Groover Loop Ste 201, St Augustine and it's customer support contact number is 904-634-0640. The authorized person of Southeast Orthopedic Specialists, Llc is Brett Puckett, MD who is Md of this DME and his contact number is 904-634-0640. Southeast Orthopedic Specialists, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Southeast Orthopedic Specialists, Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Southeast Orthopedic Specialists, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Southeast Orthopedic Specialists, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 45 Groover Loop Ste 201, St Augustine,
Florida, 32086-6586 |
| Phone: | 904-634-0640 |
| Fax: | 904-634-0203 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Brett Puckett |
| Credentials: | MD |
| Position: | Md |
| 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 of given supplier are as mentioned below.
| NPI Number: | 1730815184 |
| NPI Enumeration Date: | 28 Jul, 2022 |
| NPI Last Update On: | 24 May, 2025 |
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.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Customized Equipment | | | Secondary | |
| Prosthetic/orthotic Supplier | | | Secondary | |
Medicare Enrollment:
Southeast Orthopedic Specialists, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1456246974 | O20221004001844 | Southeast Orthopedic Specialists Llc | DME SUPPLIER - PHYSICIAN - ORTHOPEDIC/ORTHOPEDIC SURGERY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6800 Southpoint Pkwy Ste 300,
Jacksonville, Florida |
| Zip: | 32216-8203 |
| Phone Number: | 904-634-0640 |
| Fax Number: | 904-634-0640 |
Patients can reach Southeast Orthopedic Specialists, Llc at
45 Groover Loop Ste 201, St Augustine, Florida or can
call on customer care at 904-634-0640.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.