Dougherty, Michael James

Dougherty, Michael James is an individual health care provider with primary practice located at 2404 N Courtenay Pkwy Ste D , Merritt Island FL 32953-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Dougherty, Michael James can be contacted via phone (321) 453-3638.

Contact Information

Primary practice address
2404 N Courtenay Pkwy Ste D Merritt Island FL 32953-4127
Phone: (321) 453-3638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME148451 Florida

Profile Details

NPI number 1245735133
LBN Legal business name Dougherty, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2018
Last updated Oct 26th, 2021 - 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.

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