Southeast Orthopedic Specialists, LLC
NPI 1730500489ActiveOrganization· Orthopaedic Surgery· Orange Park, FL
Orthopaedic Surgery in Orange Park, Florida, registered in NPPES in December 2013. The authorized official on file is Brett Puckett, Vp.
Overview
| NPI | 1730500489 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2013 |
| Last updated in NPPES | Dec 12, 2022 |
| Certified by provider | Dec 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Specialist | 174400000X | — | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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