NPI 1467567073

Michael Dougherty

Practitioner Lodging Provider Boynton Beach, FL

Practice location

Address: 2500 Quantum Lakes Dr Suite 108, Boynton Beach, FL 33426-8324
Phone: (561) 244-3627
Fax: (561) 244-9627

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in Florida →

Registry record

NPI: 1467567073
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.