| Miramar Family Practice Llc | |
|
622 Mountain Dr Destin FL 32541-2429 | |
| (850) 830-3012 | |
| Not Available |
| Full Name | Miramar Family Practice Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 622 Mountain Dr, Destin, 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 Practice Llc 622 Mountain Dr Destin FL 32541-2429 Ph: () - | Miramar Family Practice Llc 622 Mountain Dr Destin FL 32541-2429 Ph: (850) 830-3012 |
| NPI Number | 1801137054 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801137054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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