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Santa Rosa Hma Physician Management LLC

Family Medicine Physician in Pace, 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

1992375935

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Registry record

Entity type Organization (Type 2)
Legal business name Santa Rosa Hma Physician Management LLC
Other name <Unavail>
Practice address 4944 Highway 90, Pace, FL, 32571
Fax (850) 994-7883
Enumeration date Jul 1, 2021
Last updated in NPPES Mar 16, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enrollment & Onboarding

Other identifiers

Identifier Type State Issuer
374819727 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 2022-03-16. Verify at npiregistry.cms.hhs.gov.
Where is Santa Rosa Hma Physician Management LLC located?
The practice location on file with NPPES is in Pace, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-16.