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NPI Code Detail

MEDICARE: MR. JOHN PATRICK COUGHLIN M.D.

MEDICARE:  MR. JOHN PATRICK COUGHLIN  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
12086S0120XPediatric Surgery PhysicianME67720FL

Other Identifiers

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

General Provider Information

NPI Number : 1548292915
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN PATRICK COUGHLIN M.D.
Provider Business Mailing Address
First Line : 12220 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-9201
Country : US
Telephone Number : 813-631-5034
Fax Number : 813-631-5061
Provider Business Practice Location Address
First Line : 12220 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-9201
Country : US
Telephone Number : 813-631-5034
Fax Number : 813-631-5061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 08/02/2021

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