# SANTA ROSA WOMENS CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316097520
- **Authorized official:** LAURA A LEE (OFFICE MANAGER)
- **Authorized official phone:** (850) 981-3700

## Contact information

- **Practice address:** 5942 BERRYHILL RD, MILTON, FL 32570-4009
- **Practice address phone:** (850) 981-3700
- **Mailing address:** 5942 BERRYHILL RD, MILTON, FL 32570-4009
- **Mailing address phone:** (850) 981-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MEOO50043 | FL | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 05/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 378056200 | — | FL |