Individual
KATHLEEN BRIDGET DOUGHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 CLYDE MORRIS BLVD STE 450, FLORIDA CANCER SPECIALISTS P L, ORMOND BEACH, FL 32174-8179
(386) 673-2442
(386) 673-4884
Mailing address
PO BOX 102222, ATTN: CREDENTIALING, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME50682
FL
207RX0202X
Medical Oncology Physician
Primary
ME50682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047499100
—
FL
Enumeration date
07/27/2006
Last updated
08/03/2022
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