MEDICARE: DR. TIMOTHY THOMAS MCLAUGHLIN M.D.

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
1	174400000X	Specialist	ME0040997	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093767444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY THOMAS MCLAUGHLIN M.D.

Provider Business Mailing Address
First Line	:	3850 TAMPA RD
Second Line	:	SUITE 202
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3670
Country	:	US
Telephone Number	:	727-784-6779
Fax Number	:	727-781-8910

Provider Business Practice Location Address
First Line	:	3850 TAMPA RD
Second Line	:	SUITE 202
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3670
Country	:	US
Telephone Number	:	727-784-6779
Fax Number	:	727-781-8910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	10/14/2008

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