| Miramar Family Medicine | |
|
12889 Emerald Coast Pkwy W Suite 107b Miramar Beach FL 32550-3243 | |
| (850) 830-3012 | |
| Not Available |
| Full Name | Miramar Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12889 Emerald Coast Pkwy W, Miramar Beach, Florida |
| Authorized Official Name and Position | Richard Chern (MANAGING MEMBER) |
| Authorized Official Contact | 8508303012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miramar Family Medicine 622 Mountain Dr Destin FL 32541-2429 Ph: (850) 830-3012 | Miramar Family Medicine 12889 Emerald Coast Pkwy W Suite 107b Miramar Beach FL 32550-3243 Ph: (850) 830-3012 |
| NPI Number | 1104168095 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104168095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME95148 (Florida) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | ME95148 (Florida) | Secondary |
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