Individual
BRIAN EDWARD DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8940 N KENDALL DR, #504E, MIAMI, FL 33176-2148
(305) 595-6200
(786) 533-1680
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME41833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043195800
—
FL
Enumeration date
07/22/2005
Last updated
09/21/2022
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