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Organization
OAK HILL HOSPITALIST, LLC
Active
Organization
OAK HILL HOSPITALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOHANNESSEN (OPS VP)
(727) 793-6004
Entity
Organization
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 597-6007
(352) 597-6031
Mailing address
P O BOX 281380, ATLANTA, GA 30384-1380
(615) 372-3270
(866) 201-4732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39010
BCBS FL
FL
05
—
GRP#278231600
—
FL
Enumeration date
11/17/2006
Last updated
02/11/2010
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