| Santa Rosa Hma Physician Management Llc | |
|
6072 Doctors Park Milton FL 32570-5072 | |
| (850) 936-1316 | |
| (850) 936-5808 |
| Full Name | Santa Rosa Hma Physician Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6072 Doctors Park, Milton, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Rosa Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Santa Rosa Hma Physician Management Llc 6072 Doctors Park Milton FL 32570-5072 Ph: (850) 936-1316 |
| NPI Number | 1245800283 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245800283 | NPI | - | NPPES |
| 374819732 | Medicaid | FL |
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