HUGHSTON CLINIC, PC (NPI# 1588028559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588028559 |
| Entity Type | Organization |
| Organization Name | HUGHSTON CLINIC, PC |
| Other Organization Name | THE HUGHSTON CLINIC, PC |
| Practice Address |
4689 Us Highway 17 Suite 11& 12 Fleming Island FL 32003-4831 |
| Mailing Address |
6262 Veterans Pkwy Columbus GA 31909-3540 |
| Practice Telephone | 9043759753 |
| Mailing Telephone | 7064943071 |
| Enumeration Date | 2016-04-06 |
| 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 |
| Other Name | Type Code |
|---|---|
| The Hughston Clinic, PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699213520 | Hughston Clinic, PC | Durable Medical Equipment & Medical Supplies | 339 Cypress Pkwy, Suite 102, Kissimmee, FL 34759-3302 | 2017-02-12 |
| Street Address |
4689 US HIGHWAY 17 SUITE 11& 12 |
| City | FLEMING ISLAND |
| State | FL |
| Zip Code | 32003-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275488 | Hui Tang | Family Medicine | 4689 Us Highway 17, Suite 14, Fleming Island, FL 32003-4831 | 2005-06-17 |
| 1376078634 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 4689 Us Highway 17, Suites 2-5, Fleming Island, FL 32003-4831 | 2017-04-25 |
| 1942611728 | Douglas K Scales, D.m.d., P.a. | Dentist | 4689 Us Highway 17, Suite 6, Fleming Island, FL 32003-4831 | 2014-05-14 |
| 1285669390 | Lucas Anissian | Orthopaedic Surgery | 4689 Us Highway 17, Fleming Island, FL 32003-4831 | 2006-07-11 |
| 1235104621 | Jeffrey Blake Burnette | Orthopaedic Surgery | 4689 Us Highway 17, Suite 11 &12, Fleming Island, FL 32003-4831 | 2006-02-21 |
| 1487628335 | Douglas Kristofer Scales | Dentist | 4689 Us Highway 17, Suite #6, Fleming Island, FL 32003-4831 | 2006-02-16 |
| 1194705574 | Albert Lewis Henry | Orthopaedic Surgery | 4689 Us Highway 17, Suite 11 &12, Fleming Island, FL 32003-4831 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| 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 |
|---|---|---|---|---|
| 1053888024 | Doctors Lake Sleep and Wellness, LLC | Durable Medical Equipment & Medical Supplies | 1665 Eagle Harbor Pkwy Ste B, Fleming Island, FL 32003-4802 | 2018-10-29 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1568622462 | Art for Eyes | Durable Medical Equipment & Medical Supplies | 1805 Eastwest Pkwy, Ste 4, Fleming Island, FL 32003-6337 | 2008-06-13 |
| 1467474015 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1490 County Road 220, Fleming Island, FL 32003-7927 | 2006-07-24 |
| 1346858149 | Hughston Clinic Southeast, PC | Durable Medical Equipment & Medical Supplies | 4689 Hwy 17, Ste 12, Fleming Island, FL 32003-4831 | 2020-07-17 |
| 1659892529 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 4689 Highway 17, Suite 11 & 12, Fleming Island, FL 32003 | 2017-06-30 |
| 1679824247 | Cancer Specialists Ll | Durable Medical Equipment & Medical Supplies | 1715 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4324 | 2012-09-24 |
| 1861655664 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 865 Hibernia Rd, Ste 200, Fleming Island, FL 32003-8707 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225047 | Halo Florida Dme LLC | Durable Medical Equipment & Medical Supplies | 710 Pondella Rd Ste 4, North Fort Myers, FL 33903-5730 | 2020-11-05 |
| 1033710249 | Harmony Home Care Solutions LLC | Durable Medical Equipment & Medical Supplies | 6625 Miami Lakes Dr E Ste 319, Miami Lakes, FL 33014-2705 | 2020-11-04 |
| 1972104305 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 8684 Beulah Rd, Pensacola, FL 32526-5201 | 2020-11-03 |
| 1548861990 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2135 Everglades Ln, The Villages, FL 32163-1037 | 2020-11-03 |
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1659972016 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 5140 County Line Rd, Lakeland, FL 33811-1706 | 2020-11-03 |
| 1891396248 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 205 Rivertown Shops Dr, Saint Johns, FL 32259-7476 | 2020-11-03 |
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1265033591 | Acqualina Health Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 12955 Biscayne Blvd Ste 322, North Miami, FL 33181-2022 | 2020-11-03 |
| 1083215511 | Supplies Plus Fl Inc | Durable Medical Equipment & Medical Supplies | 223 Island Way Apt 5f, Clearwater Beach, FL 33767-2254 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on HUGHSTON CLINIC, 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.