Santa Rosa Hma Physician Management LLC

NPI #1619666195 in Milton, Florida

Provider Information

NPI Number: 1619666195
Entity Type: Organization
Organization Name: Santa Rosa Hma Physician Management LLC
Primary Specialty: Family Medicine
Enumeration Date: May 2, 2023
Last Updated: May 2, 2023

Practice Location

Address: 5804 DOGWOOD DR
City: Milton
State: Florida
ZIP Code: 32570-3576
Phone: (850) 626-5389

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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