Organization
EDWARD K MCGOUGH MD PA
Active
Organization
EDWARD K MCGOUGH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MCGOUGH MD (OWNER)
(904) 387-0006
Entity
Organization
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 387-0006
Mailing address
PO BOX 57100, JACKSONVILLE, FL 32241-7100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
11/13/2007
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