Michael Dougherty
Michael Dougherty is a Lodging Provider in Boynton Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2500 Quantum Lakes Dr Ste 108Boynton Beach, FL 33426-8324
Phone: (561) 244-3627
Fax: (561) 244-9627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Lodging Provider (primary) | Taxonomy 177F00000X |
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Record details
| NPI number | 1467567073 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2500 Quantum Lakes Dr, Suite 108, Boynton Beach, FL 33426-8324 |