Provider Demographics
NPI:1366860959
Name:MCLAUGHLIN, ERICA OREAIR (MAC, MBA,)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:OREAIR
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MAC, MBA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 ISABAELLA BLVD SUITE 50-D
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250
Mailing Address - Country:US
Mailing Address - Phone:904-607-6661
Mailing Address - Fax:
Practice Address - Street 1:3528 SNOWY EGRET WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-8518
Practice Address - Country:US
Practice Address - Phone:904-607-6661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3385171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist