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

Meadowcrest Family Practice PA

Organization Family Medicine Physician · NPI 1831233816

Meadowcrest Family Practice PA provides Family Medicine Physician services in Crystal River, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5915 W Gulf To Lake Hwy
Crystal River, FL 34429-7565 Not confirmed with CMS for 17 years — call before visiting
Phone: (352) 795-0644
Fax: (352) 795-5950
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0958010001 (FL)

Record details

NPI number1831233816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jimmy Dickert — Direct Owner · (352) 795-0644
NPI enumeratedFebruary 16, 2007
Last updated in NPPESJanuary 7, 2009
Mailing address5915 W Gulf To Lake Hwy, Crystal River, FL 34429-7565

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