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Individual

ALEXANDRIA COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1680 SE LYNGATE DR, PORT ST LUCIE, FL 34952-4300
(772) 300-9090
Mailing address
11147 159TH CT N, JUPITER, FL 33478-6764
(561) 324-7343

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9114849
FL

Other

Enumeration date
10/18/2021
Last updated
01/29/2026
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