Individual
JOSEPH P MCLOUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12880 COMMODITY PL, TAMPA, FL 33626-3101
(813) 343-5500
(866) 462-7445
Mailing address
PO BOX 21686, TAMPA, FL 33622-1686
(813) 343-5500
(866) 462-7445
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9102647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9102647
LICENSE
FL
Enumeration date
12/01/2006
Last updated
09/09/2013
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