Organization
SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SENIOR DIRECTOR)
(615) 465-3334
Entity
Organization
Contact information
Practice address
5804 DOGWOOD DRIVE, MILTON, FL 32570
(850) 626-5389
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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