Organization · Type 2 NPI

Low T Center

Primary Care Clinic/Center · Miramar Beach, FL

NPI number 1104168095 Active

Practice location

12889 Emerald Coast Pkwy W, Suite 107B
Miramar Beach, FL 32550-3243

Mailing address

622 Mountain Dr
Destin, FL 32541-2429

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XME95148 (FL)
Urgent Care Clinic/Center 261QU0200XME95148 (FL)

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About NPI 1104168095

Low T Center's National Provider Identifier is 1104168095, issued on Mar 19, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Miramar Beach, FL. The record was last updated on Mar 19, 2013.