| NPI | 1942960786 |
|---|---|
| Doing Business As | CRYSTAL RIVER HMA PHYSICIAN MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Onboarding & Prov Enrollment 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-03-14 |