| Santa Rosa Medical Group | |
|
5992 Berryhill Rd Suite 205 Milton FL 32570-1013 | |
| (850) 981-0320 | |
| (850) 981-0321 |
| Full Name | Santa Rosa Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 5992 Berryhill Rd, Milton, 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 |
|---|---|
| Santa Rosa Medical Group 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | Santa Rosa Medical Group 5992 Berryhill Rd Suite 205 Milton FL 32570-1013 Ph: (850) 981-0320 |
| NPI Number | 1891093100 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891093100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Mark J Elder Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5992 Berryhill Rd, Milton, FL 32570 Phone: 850-981-0320 | |
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