Organization · Type 2 NPI

Brooksville Hma Physician Management LLC

Surgery Physician · Brooksville, FL

NPI number 1356911085 Active

Practice location

17222 Hospital Blvd Ste 242
Brooksville, FL 34601-8925

Call (352) 754-3565 Map

Fax (352) 606-2711

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

4 other providers at this address

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NPI record

NPI: 1356911085
Entity type: Organization (Type 2)
Issued: Jun 25, 2021
Last updated: Mar 9, 2022
Status: Active

Other names

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Brooksville Hma Physician Management LLC · doing business as
Brooksville Hma Physician Management LLC · doing business as

Authorized official

Jennifer L Jackson
SR Dir Prov Enrollment & Onboarding
(615) 465-3334

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356911085

Brooksville Hma Physician Management LLC's National Provider Identifier is 1356911085, issued on Jun 25, 2021. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Brooksville, FL. The record was last updated on Mar 9, 2022.