Brooksville Hma Physician Management LLC

NPI #1861122012 in Hernando, Florida

Provider Information

NPI Number: 1861122012
Entity Type: Organization
Organization Name: Brooksville Hma Physician Management LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 11, 2022
Last Updated: Jun 11, 2022

Practice Location

Address: 2456 N ESSEX AVE
City: Hernando
State: Florida
ZIP Code: 34442-5321
Phone: (352) 513-4783

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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