Organization · Type 2 NPI

Santa Rosa Hma Physician Management LLC

Neurology Physician · Milton, FL

NPI number 1679140537 Active

Practice location

5992 Berryhill Rd Ste 205
Milton, FL 32570-1014

Call (850) 626-5324 Map

Fax (850) 626-5325

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed
Physician Assistant	363A00000X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2 other providers at this address

NPI record

NPI: 1679140537
Entity type: Organization (Type 2)
Issued: Jun 9, 2021
Last updated: Mar 16, 2022
Status: Active

Other names

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Santa Rosa Hma Physician Management LLC · doing business as
Santa Rosa 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 1679140537

Santa Rosa Hma Physician Management LLC's National Provider Identifier is 1679140537, issued on Jun 9, 2021. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Milton, FL. The record was last updated on Mar 16, 2022.