Santa Rosa Hma Physician Management LLC

NPI #1356918106 in Milton, Florida

Provider Information

NPI Number: 1356918106
Entity Type: Organization
Organization Name: Santa Rosa Hma Physician Management LLC
Primary Specialty: Internal Medicine - Pulmonary Disease
Enumeration Date: Jun 9, 2021
Last Updated: Mar 16, 2022

Practice Location

Address: 5992 BERRYHILL RD STE 206
City: Milton
State: Florida
ZIP Code: 32570-1013
Phone: (850) 626-5324

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Acute Care — Acute Care	363LA2100X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X	Primary

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Organizations

Provider Name	Specialty	City
Santa Rosa Hma Physician Management LLC	Internal Medicine - Pulmonary Disease	Milton	AI Deep Dive

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