Individual
DR. THOMAS G. MC LOUGHLIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 S DIXIE FWY, NEW SMYRNA BEACH, FL 32168-7473
(386) 463-5323
Mailing address
4516 KATY DR, NEW SMYRNA BEACH, FL 32169-4112
(386) 679-4458
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME79808
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME79808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258515400
—
FL
01
—
49725
BLUE SHIELD OF FL
FL
Enumeration date
06/21/2006
Last updated
04/24/2024
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