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SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
NPI 1861069619
Otolaryngology in Pace, FL

Active since June 09, 2021
3754 HIGHWAY 90 STE 310, PACE, FL 32571(850) 626-5070(850) 626-5300 Get Directions Write a Review

NPPES record last updated: March 16, 2022. 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 1861069619) is a healthcare organization registered as an otolaryngology 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

NPI1861069619
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
Location Address3754 HIGHWAY 90 STE 310Pace, FL 32571-1098
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(850) 626-5070
Fax(850) 626-5300
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 9, 2021
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1861069619 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 HIGHWAY 90 STE 310, Pace, FL 32571
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Other Names 1

Doing Business AsSanta Rosa Hma Physician Management Llc

Other Identifiers 1

Medicaid374819737FL

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

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 1861069619. It was assigned to this organization in the NPPES registry on June 9, 2021.

Where is Santa Rosa Hma Physician Management LLC located?

Santa Rosa Hma Physician Management LLC is located at 3754 Highway 90 Ste 310, Pace, FL 32571. 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 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.