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NPI Code Detail

MEDICARE: COURTNEY MCLAUGHLIN P.A.

MEDICARE: COURTNEY MCLAUGHLIN P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9103322FL

General Provider Information

NPI Number : 1316962665
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MCLAUGHLIN P.A.
Provider Business Mailing Address
First Line : 6531 ROCK BRIDGE LN
Second Line :
City : ELLENTON
State : FL
Zip : 34222-5201
Country : US
Telephone Number : 941-721-8676
Fax Number :
Provider Business Practice Location Address
First Line : 606 4TH AVE W
Second Line :
City : PALMETTO
State : FL
Zip : 34221-5226
Country : US
Telephone Number : 941-722-7785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/08/2007

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Directions to “ COURTNEY MCLAUGHLIN P.A.” Practice Location

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