Active NPI
Santa Rosa HB Medical Services, LLC
- Emergency Medicine Physician
- Pace, FL
National Provider Identifier
1740078062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SANTA ROSA HB MEDICAL SERVICES, LLC
- Practice address
- 4250 Woodbine Rd
Pace, FL 32571-8703 - Phone
- (877) 848-1457
- Fax
- (659) 235-6176
- NPI assigned
- Apr 28, 2025
- Last updated
- Apr 28, 2025
- Organization subpart
- Yes
- Parent organization
- SANTA ROSA HB MEDICAL SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendi Keeton
- Title
- Sr. Director, Operations
- Phone
- (615) 628-6507
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
4250 Woodbine Rd
Pace, FL 32571-8703
Mailing address
PO Box 680060
Franklin, TN 37068-0060
Phone (615) 465-7000
National Provider Directory
National Provider Directory- Tax ID family
- Santa Rosa HB Med Services
- Part of
- Santa Rosa HB Med Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Crestview, FL
- NPI 1730969502
-
- Hospitalist Physician
- Milton, FL
- NPI 1619757952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745798400000",
"number": "1740078062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 680060",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370680060",
"telephone_number": "615-465-7000",
"fax_number": "659-235-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 WOODBINE RD",
"city": "PACE",
"state": "FL",
"postal_code": "325718703",
"telephone_number": "877-848-1457",
"fax_number": "659-235-6176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA ROSA HB MEDICAL SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SANTA ROSA HB MEDICAL SERVICES, LLC",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A",
"authorized_official_last_name": "KEETON",
"authorized_official_first_name": "WENDI",
"authorized_official_title_or_position": "SR. DIRECTOR, OPERATIONS",
"authorized_official_telephone_number": "615-628-6507"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pace, FL
- Sacred Heart Medical Group
- Sacred Heart Medical Group
- Erin M Salaam, DPT
- Christie Nicole Sanchez, ARNP
- Sand Anesthesia Group
- Santa Rosa Hma Physician Management LLC
- Santa Rosa Hma Physician Management LLC
- Santa Rosa Hma Physician Management LLC
- Santa Rosa Hma Physician Management LLC
- Santa Rosa Hma Physician Management LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.