Individual provider · Type 1 NPI

Edward Joseph Dougherty Iv, MD

Student in an Organized Health Care Education/Training Program · Weston, FL

NPI number 1801536651 Active

Practice location

2950 Cleveland Clinic Blvd
Weston, FL 33331-3625

Call (407) 595-7958 Map

Mailing address

667 Long Lake Dr
Oviedo, FL 32765-9112

Other practice locations

  • 1350 E Market St, Warren, OH 44483-6608 · (330) 841-9647

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801536651

Edward Joseph Dougherty Iv, MD's National Provider Identifier is 1801536651, issued on Mar 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Weston, FL. The record was last updated on Apr 30, 2023.