MICHAEL DOUGHERTY

ORLANDO, FL
NPI1679904999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL274)
Enumeration Date2013-12-12
Last Update Date2013-12-12
Business Address
Mr. MICHAEL DOUGHERTY ATC
5165 ADANSON ST
ORLANDO, FL 32804-1331
Phone number: 321-303-5016
Mailing Address
Mr. MICHAEL DOUGHERTY ATC
5165 ADANSON ST
ORLANDO, FL 32804-1331
Phone number: 321-303-5016
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