Organization
MARIA DIGNA DOHERTY, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MONDO CPC (OFFICE MANAGER)
(352) 420-8118
Entity
Organization
Contact information
Practice address
11525 CORTEZ BLVD, BROOKSVILLE, FL 34613-7373
(352) 596-9990
(352) 596-9997
Mailing address
11525 CORTEZ BLVD, BROOKSVILLE, FL 34613-7373
(352) 596-9990
(352) 596-9997
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
ME0062700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371279600
—
FL
Enumeration date
03/06/2012
Last updated
03/06/2012
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