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:
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Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487654299 NPPES
Florida MEDICAID 043195800

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