Organization
HERNANDO HMA LLC
Active
Other names
Bravera Health Brooksville
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
17240 CORTEZ BLVD, BROOKSVILLE, FL 34601-8921
(352) 796-5111
Mailing address
17240 CORTEZ BLVD, BROOKSVILLE, FL 34601-8921
(352) 544-5711
(352) 544-5711
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010087100
—
FL
01
—
532
BLUE CROSS
FL
Enumeration date
07/06/2006
Last updated
02/24/2022
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