LOW T CENTER (NPI# 1104168095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104168095 |
| Entity Type | Organization |
| Organization Name | LOW T CENTER |
| Other Organization Name | MIRAMAR FAMILY MEDICINE |
| Practice Address |
12889 Emerald Coast Pkwy W Suite 107b Miramar Beach FL 32550-3243 |
| Mailing Address |
622 Mountain Dr Destin FL 32541-2429 |
| Practice Telephone | 8508303012 |
| Mailing Telephone | 8508303012 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | DR. RICHARD CHERN (MANAGING MEMBER) |
| Authorized Official Telephone | 8508303012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
ME95148 | FL | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME95148 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Miramar Family Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Low T Center | 12213 North Pecos Street, Ste 700, Westminster, CO 80234 |
| Indiana Business Entities | LOW T CENTER LLC | 1920 East Highway 114, Southlake, TX 76092 |
| Street Address |
12889 EMERALD COAST PKWY W SUITE 107B |
| City | MIRAMAR BEACH |
| State | FL |
| Zip Code | 32550-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972983872 | Richard Chern Md, LLC | Clinic/Center | 12889 Emerald Coast Pkwy W, Suite 107b, Miramar Beach, FL 32550-3243 | 2015-06-05 |
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|---|---|---|---|---|
| 1326652645 | S & R Dental Services, Inc. | Dentist | Carr. Int'l Zaragoza 445-1, Cd. Juarez, CHIHUAHUA 32550 | 2020-09-03 |
| 1801304746 | Dina Smith | Student in an Organized Health Care Education/Training Program | 12815 Highway 98, Suite 108, Miramar Beach, FL 32550 | 2018-01-12 |
| 1023484565 | The Hormone Restoration Center | Health Maintenance Organization | 12889 Hwy 98 W, Suite 107b, Miramar Beach, FL 32550 | 2015-08-19 |
| 1093051344 | Jason E Baker Dds LLC | Dentist | 77 South Shore Drive, Miramar Beach, FL 32550 | 2012-12-13 |
| 1801166210 | Yadhira A. Diaz | Dentist | Carr. Internacional Waterfill #500, Zaragoza, CHIHUAHUA 32550 | 2012-01-03 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| 1922234160 | Ryan Winters | Physical Therapy Assistant | 7720 Highway 98, 220, Destin, FL 32550 | 2009-06-02 |
| 1619169133 | Jessica Marie Virtue | Specialist | 12815 Hwy 98 W, Suite 114, Destin, FL 32550 | 2007-08-17 |
| 1811100217 | Maria G Vazquez | Dentist | 445 Zaragoza, Juarez, MEXICO 32550 | 2007-05-08 |
| 1013137082 | Dental Waterfill Sc | Dentist | 445 Saborosa Ave, Sabarosa, CHIH 32550 | 2007-05-01 |
| Find all providers in zip 32550 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194199919 | Clark Family Medicine | Clinic/Center | 12815 Us Highway 98 W Ste 116, Miramar Beach, FL 32550-3245 | 2015-11-17 |
| 1972983872 | Richard Chern Md, LLC | Clinic/Center | 12889 Emerald Coast Pkwy W, Suite 107b, Miramar Beach, FL 32550-3243 | 2015-06-05 |
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| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | MIRAMAR BEACH |
| Zip Code | 32550 |
Please comment or provide details below to improve the information on LOW T CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.