Crystal River Hma Physician Management Llc | |
5915 W Gulf To Lake Hwy Crystal River FL 34429-7565 | |
(352) 794-3872 | |
(352) 794-3876 |
Full Name | Crystal River Hma Physician Management Llc |
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Speciality | Family Medicine |
Location | 5915 W Gulf To Lake Hwy, Crystal River, Florida |
Authorized Official Name and Position | Jennifer L Jackson (SR DIR ONBOARDING & PROV ENROLLMENT) |
Authorized Official Contact | 6154653334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crystal River Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | Crystal River Hma Physician Management Llc 5915 W Gulf To Lake Hwy Crystal River FL 34429-7565 Ph: (352) 794-3872 |
NPI Number | 1447799945 |
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Provider Enumeration Date | 02/16/2017 |
Last Update Date | 03/14/2022 |
Identifier | Type | State | Issuer |
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1447799945 | NPI | - | NPPES |
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