Individual
ALEXANDER D COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3461 LITHIA PINECREST RD, VALRICO, FL 33596-6302
(813) 662-9718
Mailing address
5705 1/2 N SEMINOLE AVE, TAMPA, FL 33604-7053
(813) 516-9143
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI41782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSI41782
FLORIDA DEPT OF HEALTH / BOARD OF PHARMACY
FL
Enumeration date
09/23/2022
Last updated
09/23/2022
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