Individual
JAMES D DAUGHTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(561) 801-0304
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(561) 801-0304
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 20583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1693153
NONE
FL
01
—
340007304
NONE
FL
01
—
4520645
NONE
FL
01
—
65-0223262
NONE
FL
01
—
P2297823
NONE
FL
Enumeration date
08/03/2005
Last updated
03/08/2010
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