NPI 1821665969 · live from the CMS NPI Registry
Brooksville Hma Physician Management LLC
Surgery in Brooksville, FL. National Provider Identifier 1821665969, active.
NPI record
| NPI | 1821665969 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Surgery 208600000X |
| Practice location | 12180 Cortez Blvd, Brooksville, FL 34613 |
| Practice phone | 352-596-4999 |
| Mailing address | Po Box 689022, Franklin, TN 37068 |
| Enumerated | June 8, 2021 |
| Last updated | March 9, 2022 |
| Authorized official | Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding |
| Other names | Brooksville Hma Physician Management LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology | 207V00000X | — |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — |
| Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | 207VF0040X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Surgery primary | 208600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.