# HUGHSTON CLINIC, PC

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

## Provider details

- **NPI number:** 1699213520
- **Authorized official:** AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (706) 494-3071

## Contact information

- **Practice address:** 339 CYPRESS PKWY, SUITE 102, KISSIMMEE, FL 34759-3302
- **Practice address phone:** (706) 494-3071
- **Practice address fax:** (706) 494-3201
- **Mailing address:** 6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
- **Mailing address phone:** (706) 494-3071

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2017
- **Last updated:** 10/25/2018