Individual
JAMES P DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPS
Contact information
Practice address
1020 N KROME AVE, HOMESTEAD, FL 33030-4411
(786) 243-1003
(786) 243-0503
Mailing address
1020 N KROME AVE, HOMESTEAD, FL 33030-4411
(786) 243-1003
(786) 243-0503
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPS100236-A
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRPS100236-A
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
09/11/2021
Last updated
09/11/2021
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