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Individual

DR. MARIA DIGNA DOHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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
208000000X
Pediatrics Physician
Primary
ME62700
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME62700
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371279600
FL
Enumeration date
05/18/2006
Last updated
05/21/2019
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