Organization · Type 2 NPI

Crystal River Hma Physician Management LLC

Surgery Physician · Crystal River, FL

NPI number 1164188447 Active

Practice location

1669 SE Hwy 19
Crystal River, FL 34429-4849

Call (352) 563-2407 Map

Fax (877) 892-9815

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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NPI record

NPI: 1164188447
Entity type: Organization (Type 2)
Issued: Nov 11, 2021
Last updated: Mar 14, 2022
Status: Active

Other names

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Crystal River Hma Physician Management LLC · doing business as
Crystal River Hma Physician Management LLC · doing business as

Authorized official

Jennifer L Jackson
SR Dr. Prov Enrollment & Onboarding
(615) 465-3334

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About NPI 1164188447

Crystal River Hma Physician Management LLC's National Provider Identifier is 1164188447, issued on Nov 11, 2021. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Crystal River, FL. The record was last updated on Mar 14, 2022.