HUGHSTON CLINIC SOUTHEAST PC (NPI# 1134605223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134605223 |
| Entity Type | Organization |
| Organization Name | HUGHSTON CLINIC SOUTHEAST PC |
| Practice Address |
3627 University Blvd S Ste 435 Jacksonville FL 32216-4238 |
| Mailing Address |
6262 Veterans Pkwy Columbus GA 31909-3540 |
| Practice Telephone | 9045708604 |
| Practice Fax Number | 9044584819 |
| Mailing Telephone | 7064943071 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7064943071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841776937 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 2202 State Ave Ste 303, Panama City, FL 32405-4590 | 2018-07-12 |
| 1770004863 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 3443 Dickerson Pike Ste 360, Nashville, TN 37207-2535 | 2017-06-29 |
| 1568948636 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 3736 S 4th St, Terre Haute, IN 47802-5507 | 2018-07-12 |
| 1487130571 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 309 N Mangoustine Ave Unit G, Sanford, FL 32771-1098 | 2018-07-12 |
| 1598286684 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1552 | 2017-06-29 |
| 1508387697 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 | 2017-06-29 |
| 1164943254 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 2000 10th Ave Ste 270, Columbus, GA 31901-3706 | 2017-06-29 |
| 1225401946 | Hughston Clinic Southeast PC | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2015-11-03 |
| Street Address |
3627 UNIVERSITY BLVD S STE 435 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451075 | Da&u Group Inc | Durable Medical Equipment & Medical Supplies | 2118 E Rusk St, Jacksonville, TX 75766-9052 | 2020-09-10 |
| 1215540562 | Christina Lorraine Jones | Durable Medical Equipment & Medical Supplies | 894 Plumbridge Ct, Jacksonville, FL 32218-6138 | 2020-08-26 |
| 1578175568 | Mob Enterprises LLC | Durable Medical Equipment & Medical Supplies | 5285 Shad Rd Ste 207, Jacksonville, FL 32257-2038 | 2020-08-20 |
| 1902456106 | Andre' Pollard | Durable Medical Equipment & Medical Supplies | 13700 Sutton Park Dr N Apt 1313, Jacksonville, FL 32224-2277 | 2019-09-19 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1285297838 | Medical Hotspots, Inc | Durable Medical Equipment & Medical Supplies | 5353 Ramona Blvd Ste 3, Jacksonville, FL 32205-4417 | 2019-04-18 |
| 1831657394 | Synergy Pharmacy Medical Consulting LLC | Durable Medical Equipment & Medical Supplies | 3517 Peeler Rd Apt 19, Jacksonville, FL 32277-2491 | 2019-03-04 |
| 1346707262 | Realo Discount Drug Stores of Eastern North Carolina Inc | Durable Medical Equipment & Medical Supplies | 461 Western Blvd Ste 122a, Jacksonville, NC 28546-7637 | 2019-02-27 |
| 1689131617 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 6699 Gate Pkwy, Jacksonville, FL 32256-8078 | 2019-02-26 |
| 1457816548 | Ceylon Imports LLC | Durable Medical Equipment & Medical Supplies | 10435 Midtown Pkwy Unit 125, Jacksonville, FL 32246-7462 | 2019-02-04 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on HUGHSTON CLINIC SOUTHEAST PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.