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Individual

MR. DANNY JOE MCLAUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
305 S LINE AVE, INVERNESS, FL 34452-4605
(352) 344-4791
(352) 344-3822
Mailing address
PO BOX 1925, LADY LAKE, FL 32158-1925
(352) 553-4075
(888) 770-3208

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015566
NY
363A00000X
Physician Assistant
Primary
PA9107769
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101633100
FL
01
HR933V
MEDICARE
FL
01
PA9107769
FLA PA LICENSE
FL
01
PAX00010382
STATE OF FLA PRESCRBING NUMBER
FL
01
Y0L63
BLUE SHIELD FLORIDA
FL
Enumeration date
04/20/2012
Last updated
07/03/2023
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