| Santa Rosa Hma Physician Management Llc | |
|
4944 Highway 90 Pace FL 32571-1413 | |
| (850) 981-4000 | |
| (850) 994-7883 |
| Full Name | Santa Rosa Hma Physician Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4944 Highway 90, Pace, 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 4944 Highway 90 Pace FL 32571-1413 Ph: (850) 981-4000 |
| NPI Number | 1992375935 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992375935 | NPI | - | NPPES |
| 374819727 | Medicaid | FL |
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