Individual
THOMAS MICHAEL DOUGHERTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2707 W FIG ST, TAMPA, FL 33609-2317
(239) 247-0209
Mailing address
2707 W FIG ST, TAMPA, FL 33609-2317
(239) 247-0209
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
173633
FL
Other
Enumeration date
03/26/2020
Last updated
07/11/2025
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