NPI | 1124698584 |
---|---|
Doing Business As | BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-06-29 |
Last Update Date | 2022-03-07 |