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Contact Information

SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
3754 HWY 90
SUITE 310
SANTA ROSA, FL32570
 Phone: 850-626-5070
 Fax: 850-626-5300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC · (Female)

NPI Number 1063105518
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2023
Last updated 05/31/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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