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BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC NPI 1437827748


NPI Information

NPI: 1437827748
Provider Name: BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC

Doing Business As: BAYFRONT HEALTH BROOKSVILLE

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 10D0645708

Address:
17240 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34601
Phone: (352) 796-5111
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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 1437827748. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bayfront Health Brooksville.

The provider's business location address is:

17240 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34601-921
Phone: (352) 796-5111
Fax: (352) 544-8711

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 CLIA number assigned to this NPI record is 10D0645708 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 3/9/2022.


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
1208600000XSurgeryYes

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
1PENDINGMEDICAIDFLORIDA

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

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