Hughston Clinic Southeast Pc
Durable Medical Equipment & Medical Supplies
3627 University Blvd S Ste 550, Jacksonville
Florida, 32216-7401
904-570-8604 904-458-4819
Hughston Clinic Southeast Pc is a Durable Medical Equipment & Medical Supplies in Jacksonville, Florida. It is located at 3627 University Blvd S Ste 550, Jacksonville and it's customer support contact number is 904-570-8604. The authorized person of Hughston Clinic Southeast Pc is Amanda Grace Fromkin who is Director Of Credentialing of this DME and his contact number is 706-494-3071. Hughston Clinic Southeast Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Hughston Clinic Southeast Pc 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.
DME Supplier Details:
Hughston Clinic Southeast Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Hughston Clinic Southeast Pc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 3627 University Blvd S Ste 550, Jacksonville,
Florida, 32216-7401 |
| Phone: | 904-570-8604 |
| Fax: | 904-458-4819 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Amanda Grace Fromkin |
| Position: | Director Of Credentialing |
| Contact Number: | 706-494-3071 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1134605223 |
| NPI Enumeration Date: | 12 Jul, 2018 |
| NPI Last Update On: | 18 Aug, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Hughston Clinic Southeast Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | Florida | Primary | |
Medicare Enrollment:
Hughston Clinic Southeast Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9234423971 | O20180914000748 | Hughston Clinic Southeast Pc | DME SUPPLIER - PHYSICIAN - ORTHOPEDIC/ORTHOPEDIC SURGERY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6262 Veterans Pkwy,
Columbus, Georgia |
| Zip: | 31909-3540 |
| Phone Number: | 706-494-3071 |
| Fax Number: | 706-494-3008 |
Patients can reach Hughston Clinic Southeast Pc at
3627 University Blvd S Ste 550, Jacksonville, Florida or can
call on customer care at 904-570-8604.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.