Organization
JOHN P. COUGHLIN M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PATRICK COUGHLIN M.D. P.A. (PEDIATRIC SURGEON)
(813) 631-5034
Entity
Organization
Contact information
Practice address
12220 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9201
(813) 631-5034
(813) 631-5061
Mailing address
12220 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9201
(813) 631-5034
(813) 631-5061
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
ME67720
FL
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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