Provider Demographics
NPI:1740238864
Name:MCLOUGHLIN, HUGH CONOR (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:CONOR
Last Name:MCLOUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 E HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-3540
Mailing Address - Country:US
Mailing Address - Phone:954-427-3355
Mailing Address - Fax:954-480-6495
Practice Address - Street 1:328 E HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-3540
Practice Address - Country:US
Practice Address - Phone:954-427-3355
Practice Address - Fax:954-480-6495
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME41143207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD86371Medicare UPIN
FL79759Medicare ID - Type Unspecified