Basic Information
Provider Information
NPI: 1538420815
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCLAUGHLIN
FirstName: EAMON
MiddleName: JOHN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8181 NW 154TH ST STE 200
Address2:  
City: MIAMI LAKES
State: FL
PostalCode: 330165861
CountryCode: US
TelephoneNumber: 3055583724
FaxNumber: 7862600019
Practice Location
Address1: 3800 JOHNSON ST STE A
Address2:  
City: HOLLYWOOD
State: FL
PostalCode: 330216052
CountryCode: US
TelephoneNumber: 9549618153
FaxNumber: 9549617159
Other Information
ProviderEnumerationDate: 06/04/2012
LastUpdateDate: 11/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000XME130648FLY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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