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BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC NPI 1316517881


NPI Information

NPI: 1316517881
Provider Name: BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC

Doing Business As: BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
12900 CORTEZ BLVD STE 103
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 596-1145
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BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC is a surgery in Brooksville, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC NPI is 1316517881. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Brooksville Hma Physician Management Llc.

The provider's business location address is:

12900 CORTEZ BLVD STE 103
BROOKSVILLE, FL
ZIP 34613-897
Phone: (352) 596-1145
Fax: (352) 596-1134

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 6/28/2021 and was last updated on 3/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryNo
2207X00000XOrthopaedic SurgeryNo
3207XX0005XOrthopaedic SurgerySports MedicineNo
4208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002631020MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.