Organization
REGENCY SQUARE EMERGENCY CARE P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DOUGLAS LOEW D.O. (PRESIDENT/OWNER)
(772) 288-4911
Entity
Organization
Contact information
Practice address
2520 SE FEDERAL HWY, STUART, FL 34994-4533
(772) 288-4911
(772) 288-0691
Mailing address
2520 SE FEDERAL HWY, STUART, FL 34994-4533
(772) 288-4911
(772) 288-0691
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
OS5429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80527
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
07/27/2006
Last updated
08/03/2010
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