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Organization
SANTA ROSA HB MEDICAL SERVICES, LLC
Active
Organization
SANTA ROSA HB MEDICAL SERVICES, LLC
Active
Parent organization
SANTA ROSA HB MEDICAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA ROSA HB MEDICAL SERVICES, LLC
Authorized official
WENDI KEETON (SR. DIRECTOR HOSPITAL BASED PROGRAM)
(615) 628-6507
Entity
Organization
Contact information
Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 626-7762
(659) 235-6176
Mailing address
PO BOX 680060, FRANKLIN, TN 37068-0060
(615) 628-6504
(659) 235-6176
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/04/2023
Last updated
11/13/2023
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