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NPI 1497322754 · live from the CMS NPI Registry

Brooksville Hma Physician Management LLC

Obstetrics & Gynecology in Spring Hill, FL. National Provider Identifier 1497322754, active.

NPI record

NPI1497322754 Type 2 · organization
StatusActive
Primary specialtyObstetrics & Gynecology 207V00000X
Practice location11175 County Line Rd, Spring Hill, FL 34609
Practice phone352-686-8888
Mailing addressPo Box 689022, Franklin, TN 37068
EnumeratedJune 7, 2021
Last updatedMarch 9, 2022
Authorized officialJennifer Jackson, Sr Dir Prov Enrollment & Onboarding
Other namesBrooksville Hma Physician Management LLC

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery207VF0040X—
Nurse Practitioner, Obstetrics & Gynecology363LX0001X—
Obstetrics & Gynecology primary207V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.