Organization
HUGHSTON ORTHOPAEDIC SOUTHEAST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FROMKIN (CRED DIR)
(706) 494-3071
Entity
Organization
Contact information
Practice address
929 N SPRING GARDEN AVE STE 927A, DELAND, FL 32720-0900
(321) 415-1020
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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