# HUGHSTON ORTHOPAEDIC SOUTHEAST PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356067078
- **Authorized official:** AMANDA FROMKIN (CRED MGR)
- **Authorized official phone:** (706) 494-3071

## Contact information

- **Practice address:** 6775 CHOPRA TER STE 300, ORLANDO, FL 32827-5811
- **Practice address phone:** (407) 965-4114
- **Practice address fax:** (833) 408-2573
- **Mailing address:** PO BOX 370, FORTSON, GA 31808-0370
- **Mailing address fax:** (706) 494-3008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 08/18/2023