Individual
DR. EDWARD JOSEPH DOUGHERTY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3625
(407) 595-7958
Mailing address
667 LONG LAKE DR, OVIEDO, FL 32765-9112
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
04/30/2023
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