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General NPI Number Information
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NPI Number | 1386549483
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Entity Type | Organization
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Legal Business Name | HMA SANTA ROSA MEDICAL CENTER LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 4225 WOODBINE RD STE C
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City | PACE
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State | FL
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Zip | 32571-8791
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Country | US
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Telephone | 850-994-4523
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Fax | 850-623-5083
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Provider Business Mailing Address
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Address Line | 6002 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-5062
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Country | US
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Telephone | 850-626-7762
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | PAULA LALOR
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Credential |
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Telephone | 629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | NULL
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