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Contact Information

MARIA D DOHERTY, MD
11525 CORTEZ BLVD
BROOKSVILLE, FL34613-7373
 Phone: 352-596-9990
 Fax: 352-596-9997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARIA D DOHERTY · (Female)

NPI # 1982657193
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME62700
  • FL Medicaid 371279600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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