Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Thomas Michael Dougherty Jr.

Individual provider Surgery Physician · NPI 1356978449

Thomas Michael Dougherty Jr. is a Surgery Physician in Cape Coral, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

708 Del Prado Blvd S Ste 6
Cape Coral, FL 33990-2661
Phone: (239) 424-2755
Fax: (239) 424-2756
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2707 W Fig St, Tampa, FL 33609-2317 — (239) 247-0209

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME173633 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 173633 (FL)

Record details

NPI number1356978449
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESOctober 8, 2026
Certification dateOctober 8, 2026

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