Healthcare Provider Details

I. General information

NPI: 1053387746
Provider Name (Legal Business Name): JAMES W LOEWENHERZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 SW 87TH CT SUITE 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:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME0032843
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberME 32843
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberME 32843
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberME 32843
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: