Santa Rosa Hma Physician Management LLC

NPI #1043880347 in Pace, Florida

Provider Information

NPI Number: 1043880347
Entity Type: Organization
Organization Name: Santa Rosa Hma Physician Management LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 29, 2021
Last Updated: Mar 16, 2022

Practice Location

Address: 4225 WOODBINE RD STE A
City: Pace
State: Florida
ZIP Code: 32571-8791
Phone: (850) 994-6575

Authorized Official

Name: JENNIFER L JACKSON
Title: SR DIR PROV ENROLLMENT & ONBOARDING
Phone: (615) 465-3334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Family Medicine	207Q00000X	Primary

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