Southeast Orthopedic Specialists, LLC
NPI 1013629708ActiveOrganization· Orthopaedic Surgery· Jacksonville, FL
Orthopaedic Surgery in Jacksonville, Florida, registered in NPPES in December 2022. The authorized official on file is Brett Puckett, Vp.
Overview
| NPI | 1013629708 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2022 |
| Last updated in NPPES | Dec 14, 2022 |
| Certified by provider | Sep 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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