OrganizationActive
Crystal River Hma Physician Management LLC
NPI 1699441667 · Surgery Physician · Hernando, FL
Provider details
- NPI number
- 1699441667
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Practice location
2456 N Essex Ave
Hernando, FL 34442-5321
Phone: (352) 513-4783
Fax: (352) 513-4810
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 689022
Franklin, TN 37068-9022
Other names (DBA / former)
- Doing business as
- Crystal River Hma Physician Management LLC
- Doing business as
- Crystal River Hma Physician Management LLC
Registry dates
- Enumerated
- 2021-08-19
- Last updated
- 2023-05-04
- Certified
- 2023-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.