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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL DOUGHERTY

Active Sole Proprietor

Lodging Provider · BOYNTON BEACH, FL

Registration Details

NPI Number
1467567073
Provider Type
Individual
Gender
Male
NPI Issued
Aug 21, 2006 (19.667787981279 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
2500 QUANTUM LAKES DR
SUITE 108
BOYNTON BEACH, FL, 334268324
Browse FL providers · Browse ZIP 33426
Phone
5612443627
Fax
5612449627
Primary Specialty
Lodging Provider
177F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.