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Brooksville Hma Physician Management LLC

Family Medicine Physician in Brooksville, FL · enumerated 2021 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063089332

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Registry record

Entity type Organization (Type 2)
Legal business name Brooksville Hma Physician Management LLC
Other name <Unavail>
Practice address 11329 Cortez Blvd, Brooksville, FL, 34613
Phone (352) 596-5052
Fax (352) 596-5244
Enumeration date Jun 7, 2021
Last updated in NPPES Mar 7, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enrollment & Onboarding
Phone (615) 465-3334

Other identifiers

Identifier Type State Issuer
002631009 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Brooksville Hma Physician Management LLC located?
The practice location on file with NPPES is in Brooksville, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-03-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-07.