HERNANDO HMA LLC NPI 1609969302

NPI Information

NPI: 1609969302
Provider Name: HERNANDO HMA LLC

Doing Business As: HERNANDO ENDOSCOPY & SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
12180 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 596-4999
Get Directions

HERNANDO HMA LLC is an ambulatory surgical clinic center in Brooksville, FL. HERNANDO HMA LLC NPI is 1609969302. The provider is registered as an organization entity type.
The provider Is Doing Business As Hernando Endoscopy & Surgery Center.

The provider's business location address is:

12180 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 596-4999
Fax: (352) 596-2769

The provider's authorized official is Damodar Kanuri .
The authorized official title is Administrator and has the following contact phone number (352) 596-4999.

The CLIA number assigned to this NPI record is 10D0934525 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 2/14/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	1037	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003213900	MEDICAID	FLORIDA
2	6AT	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
3	490003238	OTHER	FLORIDA	MEDICARE RAILROAD
4	F1271	MEDICARE PIN	FLORIDA
5	593354295	OTHER	FLORIDA	UNITED HEALTHCARE OF FL

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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