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Thomas Michael Dougherty JR.
Student in an Organized Health Care Education/Training Program in Pembroke Pines, Florida
NPI 1356978449

Thomas Michael Dougherty JR. is a Student in an Organized Health Care Education/Training Program based in Fort Myers, FL. Thomas Michael Dougherty JR. practices in Pembroke Pines, FL. The NPI Number for Thomas Michael Dougherty JR. is 1356978449 and holds a License No. (Florida).

The current practice location address for Thomas Michael Dougherty JR. is 703 N Flamingo Rd, Pembroke Pines, FL and can be reached out via phone at 954-844-1402.

Location: 703 N Flamingo Rd, Pembroke Pines, FL, 33919-2251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356978449
Provider Name
Thomas Michael Dougherty JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
703 N Flamingo Rd, Pembroke Pines, FL, 33919-2251
Phone Number
954-844-1402
Fax Number
Provider Enumeration Date
03/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
703 N Flamingo Rd
City
Pembroke Pines
State
Florida
Zip
33028-1006
Phone Number
954-844-1402
Fax Number
person
Provider Business Mailing Address Details
Address
703 N Flamingo Rd
City
Pembroke Pines
State
Florida
Zip
33028-1006
Phone Number
954-844-1402
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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