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Organization

CHARLES LOEWE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES J LOEWE MD (OWNER)
(941) 952-9223
Entity
Organization

Contact information

Practice address
3325 S TAMIAMI TRL, SARASOTA, FL 34239-5114
(941) 952-9223
(941) 955-0642
Mailing address
2015 S TUTTLE AVE, SARASOTA, FL 34239-4151
(941) 952-9223
(941) 955-0642

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME43998
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64525A
MEDICARE NUMBER
FL
01
ME43998
STATE LICENSE NUMBER
FL
Enumeration date
02/27/2009
Last updated
06/17/2009
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