Dougherty, Brian Edward
Dougherty, Brian Edward is an individual health care provider with primary practice located at 8940 N Kendall Dr #504E, Miami FL 33176-2148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Dougherty, Brian Edward can be contacted via phone (305) 595-6200.Contact Information
Primary practice address
8940 N Kendall Dr #504E
Miami FL 33176-2148
Phone: (305) 595-6200
Fax: (786) 533-1680
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME41833 | Florida |
Profile Details
NPI number | 1487654299 |
---|---|
LBN Legal business name | Dougherty, Brian Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2005 |
Last updated | Sep 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487654299 | NPPES |
Florida | MEDICAID | 043195800 |
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