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Search › Florida › 225X00000X

Melissa Dougherty

NPI 1164142790 · on the registry since 2022 · sole proprietor

Practice

Address
10801 Johnson Blvd
Seminole, FL 33772
Phone
(727) 389-0201
Organisation at this address
Arc Freedom Square Llc
Ccrc Opco-Freedom Square, Llc
Ccrc Opco - Freedom Square, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida