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SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
NPI 1063105518
Otolaryngology in Santa Rosa, FL

Active since May 31, 2023
3754 HWY 90, SUITE 310, SANTA ROSA, FL 32570(850) 626-5070(850) 626-5300 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 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 1063105518) is a healthcare organization registered as an otolaryngology in Santa Rosa, Florida and active in the NPI registry since May 2023. The organization lists Jennifer L Jackson, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1063105518
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
Location Address3754 HWY 90, SUITE 310Santa Rosa, FL 32570
Mailing AddressPo Box 689022Franklin, TN 37068-9022
Phone(850) 626-5070
Fax(850) 626-5300
Organization SubpartNo
Authorized OfficialJennifer L JacksonSenior Director · (615) 465-3334
Enumeration DateMay 31, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1063105518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3754 HWY 90, Santa Rosa, FL 32570
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1063105518. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is Santa Rosa Hma Physician Management LLC located?

Santa Rosa Hma Physician Management LLC is located at 3754 Hwy 90 Suite 310, Santa Rosa, FL 32570. The listed phone number is (850) 626-5070.

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

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Santa Rosa Hma Physician Management LLC was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.