Organization
CRYSTAL RIVER HMA PHYSICIAN MANAGEMENT LLC
Active
Other names
CRYSTAL RIVER HMA PHYSICIAN MANAGEMENT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SR DR. PROV ENROLLMENT & ONBOARDING)
(615) 465-3334
Entity
Organization
Contact information
Practice address
1669 SE HWY 19, CRYSTAL RIVER, FL 34429-4849
(352) 563-2407
(877) 892-9815
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
11/11/2021
Last updated
03/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us