Organization
HERNANDO HMA LLC
Active
Other names
Hernando Endoscopy & Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMODAR KANURI (ADMINISTRATOR)
(352) 596-4999
Entity
Organization
Contact information
Practice address
12180 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 596-4999
(352) 596-2769
Mailing address
12180 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 596-4999
(352) 596-2769
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003213900
—
FL
01
—
490003238
MEDICARE RAILROAD
FL
01
—
593354295
UNITED HEALTHCARE OF FL
FL
01
—
6AT
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/02/2006
Last updated
02/14/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us