Crystal River Hma Physician Management LLC
NPI #1447799945 in Crystal River, Florida
Provider Information
- NPI Number
- 1447799945
- Entity Type
- Organization
- Organization Name
- Crystal River Hma Physician Management LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 16, 2017
- Last Updated
- Mar 14, 2022
Practice Location
- Address
- 5915 W GULF TO LAKE HWY
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-7565
- Phone
- (352) 794-3872
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DIR ONBOARDING & PROV ENROLLMENT
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Nurse Practitioner - Family — Family |
| Pediatrics |
| General Practice |
| Family Medicine |
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