Santa Rosa Hma Physician Management LLC

NPI #1063105518 in Santa Rosa, Florida

Provider Information

NPI Number: 1063105518
Entity Type: Organization
Organization Name: Santa Rosa Hma Physician Management LLC
Primary Specialty: Otolaryngology
Enumeration Date: May 31, 2023
Last Updated: May 31, 2023

Practice Location

Address: 3754 HWY 90
Address 2: SUITE 310
City: Santa Rosa
State: Florida
ZIP Code: 32570
Phone: (850) 626-5070

Authorized Official

Name: JENNIFER L JACKSON
Title: SENIOR DIRECTOR
Phone: (615) 465-3334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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