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 Family Medicine Physician · NPI 1447799945

Crystal River Hma Physician Management LLC is a Family Medicine Physician in Crystal River, Florida. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
5
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

5915 W Gulf To Lake Hwy
Crystal River, FL 34429-7565
Phone: (352) 794-3872
Fax: (352) 794-3876
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1447799945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Onboarding & Prov Enrollment · (615) 465-3334
NPI enumeratedFebruary 16, 2017
Last updated in NPPESMarch 14, 2022
Certification dateFebruary 14, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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