# SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Rosa Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306797121
- **Authorized official:** KRISTY MUSIC (DIRECTOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (615) 465-7377

## Contact information

- **Practice address:** 6072 DOCTORS PARK, MILTON, FL 32570-5072
- **Practice address phone:** (850) 626-5447
- **Practice address fax:** (850) 936-5808
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (615) 465-7429
- **Mailing address fax:** (615) 628-6877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2026
- **Last updated:** 02/06/2026
