Individual
JEFFREY DOUGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4422 E COLUMBUS DR, TAMPA, FL 33605-3233
(813) 384-4016
Mailing address
2112 MIRAMONT CIR, VALRICO, FL 33594-3124
(813) 731-0632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH21030
FL
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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