Crystal River Hma Physician Management LLC

NPI #1942960786 in Homosassa, Florida

Provider Information

NPI Number
1942960786
Entity Type
Organization
Organization Name
Crystal River Hma Physician Management LLC
Primary Specialty
Surgery
Enumeration Date
Dec 21, 2021
Last Updated
Mar 14, 2022

Practice Location

Address
3475 S SUNCOAST BLVD
State
Florida
ZIP Code
34448-2322
Phone
(352) 765-2010

Authorized Official

Name
JENNIFER L JACKSON
Title
SR DIR ONBOARDING & PROV ENROLLMENT
Phone
(615) 465-3334

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered
Surgery

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