Crystal River Hma Physician Management LLC
NPI #1164188447 in Crystal River, Florida
Provider Information
- NPI Number
- 1164188447
- Entity Type
- Organization
- Organization Name
- Crystal River Hma Physician Management LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Nov 11, 2021
- Last Updated
- Mar 14, 2022
Practice Location
- Address
- 1669 SE HWY 19
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4849
- Phone
- (352) 563-2407
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DR. PROV ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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