Brooksville Hma Physician Management LLC
Surgery in Brooksville, FL. Organization (NPI-2).
NPI number1356911085
StatusActive
Last updated in NPPESMar 9, 2022
Details
- NPI
- 1356911085
- Entity type
- Organization (NPI-2)
- Legal business name
- Brooksville Hma Physician Management LLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2021
- Certification date
- Mar 9, 2022
- Last updated
- Mar 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Other names
- Brooksville Hma Physician Management LLC (Doing Business As)
Practice location
17222 Hospital Blvd Ste 242Brooksville, FL 34601-8925
Phone 352-754-3565 · Fax 352-606-2711
Mailing address
Po Box 689022Franklin, TN 37068-9022
Phone 615-465-7211 · Fax 615-628-6877
Authorized official
Jennifer L Jackson
Sr Dir Prov Enrollment & Onboarding
6154653334
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