HUGHSTON ORTHOPAEDIC SOUTHEAST PC
NPI 1659892529
Durable Medical Equipment & Medical Supplies in Fleming Island, FL

Active since June 30, 2017
4689 HIGHWAY 17, SUITE 11 & 12, FLEMING ISLAND, FL 32003(904) 375-9753(904) 375-8380 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 18, 2023, Oct 25, 2018, Jun 30, 2017 (3 updates tracked since 2017).

  • Organization
  • Durable Medical Equipment & Medical Supp...

About HUGHSTON ORTHOPAEDIC SOUTHEAST PC

This page provides the complete NPI Profile along with additional information for Hughston Orthopaedic Southeast Pc, a provider established in Fleming Island, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1659892529 assigned on June 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Amanda Grace Fromkin (Director Of Credentialing)

NPI
1659892529 Verify this NPI
Provider Name
HUGHSTON ORTHOPAEDIC SOUTHEAST PC
Entity Type
Organization
Location Address
4689 HIGHWAY 17 SUITE 11 & 12 FLEMING ISLAND, FL 32003
Location Phone
(904) 375-9753
Location Fax
(904) 375-8380
Mailing Address
6262 VETERANS PKWY COLUMBUS, GA 31909
Mailing Phone
(706) 494-3193
Mailing Fax
(706) 494-3008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2017
Last Update Date
08-18-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
FL
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMANDA GRACE FROMKIN

Authorized Official Title
DIRECTOR OF CREDENTIALING
Authorized Official Phone
(706) 494-3071

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
4689 HIGHWAY 17, STE 11 & 12
FLEMING ISLAND, FL 32003
Orthopaedic Surgery (Orthopaedic Trauma)
4689 HIGHWAY 17, SUITE 11
FLEMING ISLAND, FL 32003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659892529, enumerated as an "organization" on June 30, 2017.

The provider is located at 4689 HIGHWAY 17 SUITE 11 & 12 FLEMING ISLAND, FL 32003 and the phone number is (904) 375-9753.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.