HUGHSTON CLINIC SOUTHEAST PC NPI 1134605223

NPI Information

HUGHSTON CLINIC SOUTHEAST PC is a durable medical equipment medical supplies in Jacksonville, FL. The provider is 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. HUGHSTON CLINIC SOUTHEAST PC NPI is 1134605223. The provider is registered as an organization entity type.

The provider's business location address is:

3627 UNIVERSITY BLVD S STE 550
JACKSONVILLE, FL
ZIP 32216-401
Phone: (904) 570-8604
Fax: (904) 458-4819

The provider's authorized official is Amanda Grace Fromkin .
The authorized official title is Director Of Credentialing and has the following contact phone number (706) 494-3071.

The enumeration date for this NPI number is 7/12/2018 and was last updated on 7/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.