Southeast Orthopedic Specialists, LLC
NPI 1629025820ActiveOrganization· Orthopaedic Surgery· Jacksonville, FL
Orthopaedic Surgery in Jacksonville, Florida, registered in NPPES in May 2006. The authorized official on file is Brett Puckett, MD, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1629025820 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2006 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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