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1114383023
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
JACKSONVILLE, FL
NPI
1114383023
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Entity Type
Organization
Authorized Contact
BRETT PUCKETT
President
904-634-0640
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2016-01-07
Last Update Date
2023-06-13
Business Address
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
15255 MAX LEGGETT PKWY 5TH FLOOR
JACKSONVILLE, FL 32218-7273
Phone number: 904-634-0640
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Mailing Address
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
6500 BOWDEN RD SUITE 103
JACKSONVILLE, FL 32216-8070
Phone number: 904-634-0640
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