Organization Name: | LOW T CENTER |
NPI Number: | 1104168095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD CHERN (MANAGING MEMBER) |
Mailing Address: | 12889 Emerald Coast Pkwy W Suite 107b Miramar Beach |
State: | FL US |
Postal Code: | 325503243 |
Phone Number: | 8508303012 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2013 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | ME95148 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |