OrganizationActive
Brooksville Hma Physician Management LLC
NPI 1780254151 · Sports Medicine (Orthopaedic Surgery) Physician · Brooksville, FL
Provider details
- NPI number
- 1780254151
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Practice location
12212 Cortez Blvd
Brooksville, FL 34613-2631
Phone: (352) 683-0007
Fax: (352) 556-5223
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 689022
Franklin, TN 37068-9022
Other names (DBA / former)
- Doing business as
- Brooksville Hma Physician Management LLC
- Doing business as
- Brooksville Hma Physician Management LLC
Registry dates
- Enumerated
- 2021-06-29
- Last updated
- 2022-03-09
- Certified
- 2022-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.