| Santa Rosa Hma Physician Management Llc | |
|
5804 Dogwood Dr Milton FL 32570-3576 | |
| (850) 626-5389 | |
| Not Available |
| Full Name | Santa Rosa Hma Physician Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5804 Dogwood Dr, Milton, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIRECTOR PROVIDER ENROLLMENT) |
| 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) 465-3334 | Santa Rosa Hma Physician Management Llc 5804 Dogwood Dr Milton FL 32570-3576 Ph: (850) 626-5389 |
| NPI Number | 1619666195 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619666195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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