Individual
DR. CARL E DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1051 PT MALABAR BV NE, SUITE 14, PALM BAY, FL 32905
(321) 723-9350
(321) 723-7397
Mailing address
1051 PT MALABAR BV NE, STE 14, PALM BAY, FL 32905
(321) 723-9350
(321) 723-7397
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1078
FL
Other
Enumeration date
09/28/2006
Last updated
06/23/2009
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