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HUGHSTON ORTHOPAEDIC SOUTHEAST, P.C., INC. - Florida Company Profile

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Company Details

Entity Name: HUGHSTON ORTHOPAEDIC SOUTHEAST, P.C., INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 11 Jan 2016 (10 years ago)
Document Number: F16000000168
FEI/EIN Number 810820816
Mail Address: PO BOX 400, FORTSON, GA, 31808, US
Address: 6262 VETERANS PKWY, COLUMBUS, GA, 31909, US
Place of Formation: GEORGIA

Key Officers & Management

Name Role Address
Jacobson Kurt MD President PO BOX 400, FORTSON, GA, 31808
Rehak David MD Vice President PO BOX 400, FORTSON, GA, 31808
Fernicola Patrick MD Secretary PO BOX 400, FORTSON, GA, 31808
Pahl Douglas MD Director PO BOX 400, FORTSON, GA, 31808
Tucker Michael MD Director PO BOX 400, FORTSON, GA, 31808
McGrory James MD Director PO BOX 400, FORTSON, GA, 31808
- Agent -

National Provider Identifier

NPI Number:
1659068377
Certification Date:
2023-04-21

Authorized Person:

Name:
AMANDA FROMKIN
Role:
CRED DIR
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2019-05-07 6262 VETERANS PKWY, COLUMBUS, GA 31909 -
CHANGE OF PRINCIPAL ADDRESS 2017-02-14 6262 VETERANS PKWY, COLUMBUS, GA 31909 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-02-14
Foreign Profit 2016-01-11

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Date of last update: 03 Aug 2025

Sources: Florida Department of State