MARIA D DOHERTY PA NPI 1326399700

NPI Information

  • NPI: 1326399700
  • Provider Name: MARIA D DOHERTY PA
  • Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
  • Entity Type: Organization
  • CLIA Number: 10D0893882
  • Address: 11525 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Phone: (352) 596-9990

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NPI Details

MARIA D DOHERTY PA is a medical genetics phd medical genetics in Brooksville, FL. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. MARIA D DOHERTY PA NPI is 1326399700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11525 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-373
Phone: (352) 596-9990
Fax: (352) 596-9997

The provider's authorized official is Maria Digna Doherty .
The authorized official title is President and has the following contact phone number (352) 596-9990.

The CLIA number assigned to this NPI record is 10D0893882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2012 and was last updated on 9/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1170100000XMedical Genetics, Ph.D. Medical GeneticsME0062700FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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