HUGHSTON CLINIC SOUTHEAST PC NPI 1598286684

NPI Information

HUGHSTON CLINIC SOUTHEAST PC is a durable medical equipment medical supplies in Fort Walton Beach, 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 1598286684. The provider is registered as an organization entity type.

The provider's business location address is:

341 RACETRACK RD NW STE C
FORT WALTON BEACH, FL
ZIP 32547-552
Phone: (850) 226-8112
Fax: (850) 362-6068

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

The enumeration date for this NPI number is 6/29/2017 and was last updated on 7/24/2017.

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:

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