Santa Rosa Hma Physician Management LLC

NPI #1861069619 in Pace, Florida

Provider Information

NPI Number: 1861069619
Entity Type: Organization
Organization Name: Santa Rosa Hma Physician Management LLC
Primary Specialty: Otolaryngology
Enumeration Date: Jun 9, 2021
Last Updated: Mar 16, 2022

Practice Location

Address: 3754 HIGHWAY 90 STE 310
City: Pace
State: Florida
ZIP Code: 32571-1098
Phone: (850) 626-5070

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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