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Brooksville Hma Physician Management LLC

Surgery 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

1316517881

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Registry record

Entity type Organization (Type 2)
Legal business name Brooksville Hma Physician Management LLC
Other name <Unavail>
Practice address 12900 Cortez Blvd Ste 103, Brooksville, FL, 34613
Fax (352) 596-1134
Enumeration date Jun 28, 2021
Last updated in NPPES Mar 7, 2022

Taxonomy & classification

207VF0040X Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enrollment & Onboarding

Other identifiers

Identifier Type State Issuer
002631020 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

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.
Where is Brooksville Hma Physician Management LLC located?
The practice location on file with NPPES is in Brooksville, FL.

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