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Organization
SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC
Active
Organization
SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINA MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
4225 WOODBINE RD STE A, MILTON, FL 32571-8791
(850) 994-6575
(850) 994-2806
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374819701
—
FL
Enumeration date
08/20/2006
Last updated
08/19/2024
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