Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | ME96651 | FL |
NPI | 1730224015 |
---|---|
Provider Name | Dr. William Aloyisus Mclaughlin |
First Address | Fernandina Beach, FL 32034-4809 |
Second Address | Yulee, FL 32097-5554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 15/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000340227F | (05) | GA |
B99308 | (02) | GA |