Organization · Type 2 NPI

Brooksville Hma Physician Management LLC

Sports Medicine (Orthopaedic Surgery) Physician · Brooksville, FL

NPI number 1780254151 Active

Practice location

12212 Cortez Blvd
Brooksville, FL 34613-2631

Call (352) 683-0007 Map

Fax (352) 556-5223

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	None listed
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	None listed

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

3 other providers at this address

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NPI record

NPI: 1780254151
Entity type: Organization (Type 2)
Issued: Jun 29, 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 1780254151

Brooksville Hma Physician Management LLC's National Provider Identifier is 1780254151, issued on Jun 29, 2021. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Brooksville, FL. The record was last updated on Mar 9, 2022.