Brooksville Hma Physician Management LLC
Organization Active NPI Surgery Physician · Crystal River, FL
NPI 1134847163 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1134847163
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC
- Practice address
- 1669 SE US Highway 19
Crystal River, FL 34429-4849 - Phone
- (352) 563-2807
- NPI assigned
- Aug 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Jennifer L Jackson
- Title
- Sr. Director Provider Enrollment
- Phone
- (615) 465-3334
Corporate family (same tax ID) 28
National Provider Directory
- Tax ID family
- Brooksville Hma Physician Management LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
1669 SE US Highway 19
Crystal River, FL 34429-4849
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7000
Other providers in Crystal River, FL
- Nicholos P Bollin
- Robbie L Bradley
- Robert L Brockett
- Rozina E Brooks
- Brooksville Hma Physician Management LLC
- Brooksville Hma Physician Management LLC
- Brooksville Hma Physician Management LLC
- Madeline Gerrits Brown
- Sandra L Brown
- Shelby Burd
All providers in Crystal River, FL · Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.