Dr. Michael James Dougherty
Family Doctor - Adult Medicine
2404 N Courtenay Pkwy Ste D
Merritt Island
, Florida 32953-4127
Dr. Michael James Dougherty
Family Doctor - Adult Medicine
2404 N Courtenay Pkwy Ste D
Merritt Island
, Florida 32953-4127
(225) 381-6620
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael James Dougherty
- 3401 North Blvd Ste 200
- Baton Rouge, LA
- Zip : 70806-3743
- Phone : (225) 381-6620
Second Address
- Dr. Michael James Dougherty
- 2404 N Courtenay Pkwy Ste D
- Merritt Island, FL
- Zip : 32953-4127
- Phone : (321) 453-3638
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | ME148451 | FL |
National Provider Identifier
| NPI | 1245735133 |
|---|---|
| Provider Name | Dr. Michael James Dougherty |
| First Address | Baton Rouge, LA 70806-3743 |
| Second Address | Merritt Island, FL 32953-4127 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2018 |
| Last Update Date | 26/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.