Provider Demographics
NPI:1467818674
Name:MCLAUGHLIN, THURMAN DOUGLAS
Entity Type:Individual
Prefix:
First Name:THURMAN
Middle Name:DOUGLAS
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3046 MONTICELLO PL
Mailing Address - Street 2:UNIT 305
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2912
Mailing Address - Country:US
Mailing Address - Phone:407-288-3485
Mailing Address - Fax:
Practice Address - Street 1:3046 MONTICELLO PL
Practice Address - Street 2:UNIT 305
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-2912
Practice Address - Country:US
Practice Address - Phone:407-288-3485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator