Hughston Clinic, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HUGHSTON CLINIC, PC

Practice address

339 Cypress Pkwy
Suite 102
Kissimmee, FL 34759-3302

Phone

(706) 494-3071

Fax

(706) 494-3201

NPI assigned

Feb 12, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Grace Fromkin

Title

Director of Credentialing

Phone

(706) 494-3071

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1699213520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-494-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CYPRESS PKWY",
            "address_2": "SUITE 102",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593302",
            "telephone_number": "706-494-3071",
            "fax_number": "706-494-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHSTON CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-12",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "FROMKIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "706-494-3071"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Nicole Hudson, PA-C
• Kally Shay Hudson
• Samantha Marie Huggins
• Kaye Jackson Hughes, LMT
• Hughston Clinic Southeast, PC
• Hughston Orthopaedic Southeast PC
• Hughston Orthopaedic Southeast PC
• Hughston Orthopaedic Southeast PC
• Hugs Therapy Services LLC
• Humanitary Medical Center Kissimmee, Inc

• Durable Medical Equipment & Medical Supplies in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.