Organization
PROHEALTH PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FRANCIS COUGHLAN PA C (OWNER)
(239) 949-5585
Entity
Organization
Contact information
Practice address
1656 MEDICAL BLVD, #302, NAPLES, FL 34110
(239) 514-4799
(239) 514-3621
Mailing address
1656 EXECUTIVE DR, #302, NAPLES, FL 34110
(239) 514-4799
(239) 514-3621
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102717
FL
Other
Enumeration date
04/15/2010
Last updated
07/18/2011
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