Individual
THOMAS COUGHLIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11511 84TH STREET CIR E UNIT 102, PARRISH, FL 34219-2807
(941) 417-7062
Mailing address
11511 84TH STREET CIR E UNIT 102, PARRISH, FL 34219-2807
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
FL
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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