Healthcare Provider Details

I. General information

NPI: 1346559176
Provider Name (Legal Business Name): JAMES W LOEWENHERZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2010
Last Update Date: 06/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 SW 87TH CT STE 215
MIAMI FL
33176-2231
US

IV. Provider business mailing address

PO BOX 562121
MIAMI FL
33256-2121
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-4800
  • Fax: 305-279-6462
Mailing address:
  • Phone: 305-274-4800
  • Fax: 305-279-6462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME32843
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberME32843
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME32843
License Number StateFL

VIII. Authorized Official

Name: DR. JAMES W LOEWENHERZ
Title or Position: PRESIDENT
Credential: MD
Phone: 305-274-4800