Santa Rosa Hma Physician Management LLC

NPI #1568039337 in Milton, Florida

Provider Information

NPI Number: 1568039337
Entity Type: Organization
Organization Name: Santa Rosa Hma Physician Management LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jun 9, 2021
Last Updated: Mar 16, 2022

Practice Location

Address: 6007 BERRYHILL RD
City: Milton
State: Florida
ZIP Code: 32570-4008
Phone: (850) 626-7762

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X
Orthopaedic Surgery	207X00000X	Primary

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