Organization
HUGHSTON ORTHOPAEDIC SOUTHEAST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BENCHWICK (DIRECTOR OF CREDENTIALING)
(706) 494-3193
Entity
Organization
Contact information
Practice address
720 W OAK ST STE 111, KISSIMMEE, FL 34741-4990
(706) 494-3071
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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