Brooksville Hma Physician Management Llc | |
3475 S Suncoast Blvd Homosassa FL 34448-2322 | |
(352) 765-2010 | |
Not Available |
Full Name | Brooksville Hma Physician Management Llc |
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Speciality | Surgery |
Location | 3475 S Suncoast Blvd, Homosassa, 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 |
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Brooksville Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: () - | Brooksville Hma Physician Management Llc 3475 S Suncoast Blvd Homosassa FL 34448-2322 Ph: (352) 765-2010 |
NPI Number | 1710617303 |
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Provider Enumeration Date | 06/15/2022 |
Last Update Date | 08/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710617303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
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