Individual
AMORCITA MADRIDONDO DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.
Contact information
Practice address
3040 E COLLEGE AVE, RUSKIN, FL 33570-5220
(813) 331-3940
(813) 331-3941
Mailing address
3040 E COLLEGE AVE, RUSKIN, FL 33570-5220
(813) 331-3940
(813) 331-3941
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9367297
FL
364SG0600X
Gerontology Clinical Nurse Specialist
ARNP 9367297
FL
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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