Brooksville Hma Physician Management Llc | |
11329 Cortez Blvd Brooksville FL 34613-5407 | |
(352) 596-5052 | |
(352) 596-5244 |
Full Name | Brooksville Hma Physician Management Llc |
---|---|
Speciality | Family Medicine |
Location | 11329 Cortez Blvd, Brooksville, Florida |
Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
Authorized Official Contact | 6154653334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brooksville Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Brooksville Hma Physician Management Llc 11329 Cortez Blvd Brooksville FL 34613-5407 Ph: (352) 596-5052 |
NPI Number | 1063089332 |
---|---|
Provider Enumeration Date | 06/07/2021 |
Last Update Date | 03/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063089332 | NPI | - | NPPES |
002631009 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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