Provider Demographics
NPI:1346559176
Name:JAMES W LOEWENHERZ MD PA
Entity Type:Organization
Organization Name:JAMES W LOEWENHERZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:LOEWENHERZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-274-4800
Mailing Address - Street 1:PO BOX 562121
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-2121
Mailing Address - Country:US
Mailing Address - Phone:305-274-4800
Mailing Address - Fax:305-279-6462
Practice Address - Street 1:9000 SW 87TH CT
Practice Address - Street 2:STE 215
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2231
Practice Address - Country:US
Practice Address - Phone:305-274-4800
Practice Address - Fax:305-279-6462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME32843207RC0200X, 207RN0300X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty