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 is a Surgery Physician 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.

See every abbreviation used in this directory →

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