Miramar Family Practice LLC

NPI #1801137054 in Destin, Florida

Provider Information

NPI Number: 1801137054
Entity Type: Organization
Organization Name: Miramar Family Practice LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Mar 13, 2013
Last Updated: Mar 13, 2013

Practice Location

Address: 622 MOUNTAIN DR
City: Destin
State: Florida
ZIP Code: 32541-2429
Phone: (850) 830-3012

Authorized Official

Name: DR. RICHARD CHERN, MD
Title: MANAGING MEMBER
Phone: (850) 830-3012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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