Low T Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME95148 Issued in FL

Legal business name

LOW T CENTER

Practice address

12889 Emerald Coast Pkwy W
Suite 107B
Miramar Beach, FL 32550-3243

Phone

(850) 830-3012

NPI assigned

Mar 19, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Chern, MD

Title

Managing Member

Phone

(850) 830-3012

Specialties & licenses 2

Addresses

Other names 1

• Miramar Family Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1104168095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 MOUNTAIN DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412429",
            "telephone_number": "850-830-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12889 EMERALD COAST PKWY W",
            "address_2": "SUITE 107B",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325503243",
            "telephone_number": "850-830-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW T CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "CHERN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "850-830-3012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME95148",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME95148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramar Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Joseph Leoncavallo, M.D.
• Jorge Luis Lima, DMD
• Shannon Lynn Lindsay, OTR/L
• Josie Marie Lisotta
• Emery L Lovehardt
• Da-Yema Micarla Lowe, PMHNP
• Michelle L. Lowe, D.O.
• Charlee Roberta Macdermott
• Kimberly A. Macdougall, OTR/L
• Jennifer Susan Mahoney, BCBA

• Primary Care Clinic/Center in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.