Santa Rosa Hma Physician Management Llc

LBN: Santa Rosa Hma Physician Management Llc
Santa Rosa Hma Physician Management Llc is an health care organization with primary practice located at 4944 Highway 90 , Pace FL 32571-1413. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Santa Rosa Hma Physician Management Llc can be contacted via phone (850) 981-4000, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
4944 Highway 90 Pace FL 32571-1413
Phone: (850) 981-4000
Fax: (850) 994-7883
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1992375935
LBN Legal business name Santa Rosa Hma Physician Management Llc
DBA Doing business as Santa Rosa Hma Physician Management Llc
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2021
Last updated Mar 16th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992375935 NPPES
Florida MEDICAID 374819727

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