SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
NPI 1972170785
Family Medicine in Milton, FL

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

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

Active since June 09, 2021

4264 AVALON BLVD, MILTON, FL 32583(850) 994-0431(850) 994-7883 Get Directions Write a Review

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

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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 1972170785) is a healthcare organization registered as a family medicine in Milton, 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

NPI1972170785

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSANTA ROSA HMA PHYSICIAN MANAGEMENT LLC

Location Address4264 AVALON BLVDMilton, FL 32583-2808

Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877

Phone(850) 994-0431

Fax(850) 994-7883

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 1972170785 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

4264 AVALON BLVD, Milton, FL 32583

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Other Names 1

Doing Business AsSanta Rosa Hma Physician Management Llc

Other Identifiers 1

Medicaid374819726FL

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 2

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

CORI COOK DNP, FNP-BC

Nurse Practitioner (Family)

4264 AVALON BLVD
MILTON, FL 32583

Santa Rosa County (850) 981-4000

JESSICA C ROYCE APRN

Nurse Practitioner (Family)

4264 AVALON BLVD
MILTON, FL 32583

Santa Rosa County (850) 626-5381

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 1972170785. 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 4264 Avalon Blvd, Milton, FL 32583. The listed phone number is (850) 994-0431.

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.