Organization
HMA SANTA ROSA MEDICAL CENTER LLC
Active
Other names
Santa Rosa Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 623-7762
(850) 623-5083
Mailing address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 626-7762
(850) 623-5083
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010174500
—
FL
01
—
424
BLUE CROSS
FL
Enumeration date
05/27/2006
Last updated
02/06/2023
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