Organization
MIRAMAR FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHERN MD (MANAGING MEMBER)
(850) 830-3012
Entity
Organization
Contact information
Practice address
622 MOUNTAIN DR, DESTIN, FL 32541-2429
(850) 830-3012
Mailing address
622 MOUNTAIN DR, DESTIN, FL 32541-2429
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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