Brooksville Hma Physician Management LLC

NPI #1134847163 in Crystal River, Florida

Provider Information

NPI Number
1134847163
Entity Type
Organization
Organization Name
Brooksville Hma Physician Management LLC
Primary Specialty
Surgery
Enumeration Date
Aug 16, 2022
Last Updated
Aug 16, 2022

Practice Location

Address
1669 SE US HIGHWAY 19
State
Florida
ZIP Code
34429-4849
Phone
(352) 563-2807

Authorized Official

Name
JENNIFER L JACKSON
Title
SR. DIRECTOR PROVIDER ENROLLMENT
Phone
(615) 465-3334

Specialties & Taxonomy Codes

Specialty
Surgery

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