Organization · Type 2 NPI

Santa Rosa Hma Physician Management LLC

Family Medicine Physician · Milton, FL

NPI number 1972170785 Active

Practice location

4264 Avalon Blvd
Milton, FL 32583-2808

Call (850) 994-0431 Map

Fax (850) 994-7883

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Milton

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NPI record

NPI: 1972170785
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 1972170785

Santa Rosa Hma Physician Management LLC's National Provider Identifier is 1972170785, issued on Jun 9, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Milton, FL. The record was last updated on Mar 16, 2022.