Individual provider · Type 1 NPI
Michael Dougherty
Lodging Provider · Boynton Beach, FL
NPI number
1467567073
Active
Practice location
2500 Quantum Lakes Dr, Suite 108
Boynton Beach, FL 33426-8324
Fax (561) 244-9627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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About NPI 1467567073
Michael Dougherty's National Provider Identifier is 1467567073, issued on Aug 21, 2006. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Boynton Beach, FL. The record was last updated on Jul 8, 2007.