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 is a Family Medicine Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

5915 W Gulf To Lake Hwy
Crystal River, FL 34429-7565
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

Other providers in Crystal River