Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal River Hma Physician Management LLC

Organization Surgery Physician · NPI 1164188447

Crystal River Hma Physician Management LLC provides Surgery Physician services in Crystal River, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1669 SE Hwy 19
Crystal River, FL 34429-4849
Phone: (352) 563-2407
Fax: (877) 892-9815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1164188447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dr. Prov Enrollment & Onboarding · (615) 465-3334
Other names Crystal River Hma Physician Management Llc; Crystal River Hma Physician Management Llc
NPI enumeratedNovember 11, 2021
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

Other providers in Crystal River