| NPI | 1164188447 |
|---|---|
| Doing Business As | CRYSTAL RIVER HMA PHYSICIAN MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dr. Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2022-03-14 |