Individual
JAMES D DAUGHTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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