Coughlin, John Patrick

Coughlin, John Patrick is an sole proprietor health care provider with primary practice located at 12220 Bruce B Downs Blvd , Tampa FL 33612-9201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Coughlin, John Patrick can be contacted via phone (813) 631-5034.

Contact Information

Primary practice address
12220 Bruce B Downs Blvd Tampa FL 33612-9201
Fax: (813) 631-5061
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME67720 Florida

Profile Details

NPI number 1548292915
LBN Legal business name Coughlin, John Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Aug 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548292915 NPPES
Florida MEDICAID 264225500

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