Brooksville Hma Physician Management LLC
Obstetrics & Gynecology in Spring Hill, FL. Organization (NPI-2).
NPI number1497322754
StatusActive
Last updated in NPPESMar 9, 2022
Details
- NPI
- 1497322754
- Entity type
- Organization (NPI-2)
- Legal business name
- Brooksville Hma Physician Management LLC
- Organization subpart
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Mar 9, 2022
- Last updated
- Mar 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 207VF0040X | Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | – | – | |
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | – | – |
Other names
- Brooksville Hma Physician Management LLC (Doing Business As)
Practice location
11175 County Line RdSpring Hill, FL 34609-5615
Phone 352-686-8888 · Fax 352-684-6888
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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