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SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
NPI 1043880347
Family Medicine in Pace, FL

Active since June 29, 2021
4225 WOODBINE RD STE A, PACE, FL 32571(850) 994-6575(850) 994-5643 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Santa Rosa Hma Physician Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC (NPI 1043880347) is a healthcare organization registered as a family medicine in Pace, Florida and active in the NPI registry since June 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1043880347
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
Location Address4225 WOODBINE RD STE APace, FL 32571-8791
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(850) 994-6575
Fax(850) 994-5643
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 29, 2021
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1043880347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
4225 WOODBINE RD STE A, Pace, FL 32571
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Other Names 1

Doing Business AsSanta Rosa Hma Physician Management Llc

Other Identifiers 1

Medicaid374819701FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC
Family Medicine
4225 WOODBINE RD STE A
MILTON, FL 32571
Santa Rosa County (850) 994-6575
DR. MARK EDWARD ATES M.D.
Family Medicine
4225 WOODBINE RD STE A
PACE, FL 32571
Santa Rosa County (850) 994-6575
DR. VERONICA COLLEEN HOLBROOK MD
Family Medicine
4225 WOODBINE RD STE A
PACE, FL 32571
Santa Rosa County (850) 994-6575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Rosa Hma Physician Management LLC's NPI number?

The NPI number for Santa Rosa Hma Physician Management LLC is 1043880347. It was assigned to this organization in the NPPES registry on June 29, 2021.

Where is Santa Rosa Hma Physician Management LLC located?

Santa Rosa Hma Physician Management LLC is located at 4225 Woodbine Rd Ste A, Pace, FL 32571. The listed phone number is (850) 994-6575.

What is Santa Rosa Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Santa Rosa Hma Physician Management LLC was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.