Provider Demographics
NPI:1568513182
Name:DIANA MCLAUGHLIN, M.D., PA
Entity Type:Organization
Organization Name:DIANA MCLAUGHLIN, M.D., PA
Other - Org Name:KIDS' MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-591-8481
Mailing Address - Street 1:10661 AIRPORT PULLING RD N STE 9
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7310
Mailing Address - Country:US
Mailing Address - Phone:239-591-8481
Mailing Address - Fax:239-596-0212
Practice Address - Street 1:10661 AIRPORT PULLING RD N STE 9
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7310
Practice Address - Country:US
Practice Address - Phone:239-591-8481
Practice Address - Fax:239-596-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40084OtherBCBS
FL260423000Medicaid