Brooksville Hma Physician Management LLC

NPI #1720719321 in Crystal River, Florida

Provider Information

NPI Number: 1720719321
Entity Type: Organization
Organization Name: Brooksville Hma Physician Management LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 23, 2022
Last Updated: Jun 23, 2022

Practice Location

Address: 1669 SE HIGHWAY 19
City: Crystal River
State: Florida
ZIP Code: 34429-4849
Phone: (352) 563-2407

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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