Santa Rosa Hma Physician Management LLC

NPI #1285302224 in Milton, Florida

Provider Information

NPI Number: 1285302224
Entity Type: Organization
Organization Name: Santa Rosa Hma Physician Management LLC
Primary Specialty: Urology
Enumeration Date: Sep 3, 2021
Last Updated: Mar 16, 2022

Practice Location

Address: 5992 BERRYHILL RD STE 102
City: Milton
State: Florida
ZIP Code: 32570-1018
Phone: (850) 981-3302

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Organizations

Provider Name	Specialty	City
Santa Rosa Hma Physician Management LLC	Urology	Milton	AI Deep Dive

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