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Organization
HUGHSTON CLINIC, PC
Active
Organization
HUGHSTON CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING)
(706) 494-3071
Entity
Organization
Contact information
Practice address
339 CYPRESS PKWY, SUITE 102, KISSIMMEE, FL 34759-3302
(706) 494-3071
(706) 494-3201
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
02/12/2017
Last updated
10/25/2018
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