Individual
DR. MICHAEL JAMES DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 E MERRITT ISLAND CSWY # 600, MERRITT ISLAND, FL 32952-3503
(321) 453-3638
Mailing address
3401 NORTH BLVD STE 200, BATON ROUGE, LA 70806-3743
(225) 381-6620
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME148451
FL
Other
Enumeration date
03/24/2018
Last updated
09/07/2024
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