National Provider Identifier Database

MICHAEL DOUGHERTY
Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

MICHAEL DOUGHERTY
2500 QUANTUM LAKES DR
SUITE 108
BOYNTON BEACH, FL33426-8324
Phone: 561-244-3627
Fax: 561-244-9627
Website:
Specialty Taxonomy Code
* Lodging 177F00000X

* Indicates primary specialty

NPI Profile & details for MICHAEL DOUGHERTY

NPI Number 1467567073
Credentials
Entity Individual
Enumeration date 08/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • FL Other: 415 EMPLOYEE #
Hospital affiliation n/a

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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