Brooksville Hma Physician Management LLC

NPI #1821665969 in Brooksville, Florida

Provider Information

NPI Number: 1821665969
Entity Type: Organization
Organization Name: Brooksville Hma Physician Management LLC
Primary Specialty: Surgery
Enumeration Date: Jun 8, 2021
Last Updated: Mar 9, 2022

Practice Location

Address: 12180 CORTEZ BLVD
City: Brooksville
State: Florida
ZIP Code: 34613-5578
Phone: (352) 596-4999

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	207VF0040X
Orthopaedic Surgery	207X00000X
Surgery	208600000X	Primary

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