Santa Rosa Hma Physician Management LLC

NPI #1184312589 in Pace, Florida

Provider Information

NPI Number: 1184312589
Entity Type: Organization
Organization Name: Santa Rosa Hma Physician Management LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Apr 25, 2023
Last Updated: Apr 25, 2023

Practice Location

Address: 5595 WOODBINE RD
City: Pace
State: Florida
ZIP Code: 32571
Phone: (850) 981-7746

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X
Surgery	208600000X
Physician Assistant	363A00000X
Obstetrics & Gynecology	207V00000X	Primary

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Santa Rosa Hma Physician Management LLC	Obstetrics & Gynecology	Pace	AI Deep Dive
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