| Brooksville Hma Physician Management Llc | |
|
5915 W Gulf To Lake Hwy Crystal River FL 34429-7565 | |
| (352) 794-3872 | |
| Not Available |
| Full Name | Brooksville Hma Physician Management Llc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 5915 W Gulf To Lake Hwy, Crystal River, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SENIOR DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooksville Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: () - | Brooksville Hma Physician Management Llc 5915 W Gulf To Lake Hwy Crystal River FL 34429-7565 Ph: (352) 794-3872 |
| NPI Number | 1073243663 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073243663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
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