Organization
SANTA ROSA HB MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI KEETON (SR DIRECTOR, HOSP. BASED OPERATIONS)
(877) 892-9815
Entity
Organization
Contact information
Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 626-7762
Mailing address
PO BOX 680060, FRANKLIN, TN 37068-0060
(615) 465-7000
(659) 235-6176
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/24/2023
Last updated
01/24/2024
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