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NPI Code Detail

MEDICARE: HUGHSTON ORTHOPAEDIC SOUTHEAST PC

MEDICARE: HUGHSTON ORTHOPAEDIC SOUTHEAST PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1356067078
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUGHSTON ORTHOPAEDIC SOUTHEAST PC
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : FORTSON
State : GA
Zip : 31808-0370
Country : US
Telephone Number :
Fax Number : 706-494-3008
Provider Business Practice Location Address
First Line : 6775 CHOPRA TER STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32827-5811
Country : US
Telephone Number : 407-965-4114
Fax Number : 833-408-2573
Authorized Official
Title or Position : CRED MGR
Name : AMANDA FROMKIN
Credential :
Telephone Number : 706-494-3071
Provider Enumeration Date : 10/14/2022
Last Update Date : 08/18/2023

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Directions to “HUGHSTON ORTHOPAEDIC SOUTHEAST PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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