MARIA D DOHERTY PA
Medical Practice at Cortez Blvd, Brooksville, FL

License number
Florida ME0062700
Category
Medical Practice
Type
Medical Genetics, Ph.D. Medical Genetics
Owner
Name: DR. MARIA DIGNA DOHERTY PEDIATRICIAN, MD
Title: PRESIDENT
Phone: (352) 596-9990
Address
Address
11525 Cortez Blvd, Brooksville, FL 34613
National Provider ID: 1326399700
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Maria D. Doherty, M.D, LLC

Brooksville, FL

Status:
Inactive
Doing business as:
Maria D. Doherty, PA
Registration:
Jul 13, 2007
Addresses:
14089 Highgrove Rd, Brooksville, FL 34609
11525 Cortez Blvd, Brooksville, FL 34613
725 Benton Ave, Brooksville, FL 34601
State ID:
L07000072554
Business type:
Florida Limited Liability
Managing Member, President, Treasurer, Director, Secretary:
Maria D. Doherty Managing Member, President, Treasurer, Director, Secretary, inactive
Agent:
Haderthauer Bernice

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