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Alexander D Coughlin
Student in an Organized Health Care Education/Training Program in Valrico, Florida
NPI 1396468302

Alexander D Coughlin is a Student in an Organized Health Care Education/Training Program based in Tampa, FL. Alexander D Coughlin practices in Valrico, FL. The NPI Number for Alexander D Coughlin is 1396468302 and holds a License No. PSI41782 (Florida).

The current practice location address for Alexander D Coughlin is 3461 Lithia Pinecrest Rd, Valrico, FL and can be reached out via phone at 813-662-9718.

Location: 3461 Lithia Pinecrest Rd, Valrico, FL, 33604-7053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396468302
Provider Name
Alexander D Coughlin
Credential
Provider Entity Type
Individual
Gender
Male
Address
3461 Lithia Pinecrest Rd, Valrico, FL, 33604-7053
Phone Number
813-662-9718
Fax Number
Provider Enumeration Date
09/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSI41782 01 FL FLORIDA DEPT OF HEALTH / BOARD OF PHARMACY
institution
Provider Business Practice Location Address Details
Address
3461 Lithia Pinecrest Rd
City
Valrico
State
Florida
Zip
33596-6302
Phone Number
813-662-9718
Fax Number
person
Provider Business Mailing Address Details
Address
3461 Lithia Pinecrest Rd
City
Valrico
State
Florida
Zip
33596-6302
Phone Number
813-662-9718
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PSI41782 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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