| Doctor Name: | AMORCITA MADRIDONDO DOUGHERTY |
| NPI Number: | 1043694789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.R. |
| License Number: | ARNP 9367297 |
| Business Practice Address: | 3040 E College Ave Ruskin, FL - 335705220 |
| Business Phone Number: | 8133313940 |
| Business Fax Number: | 8133313941 |
| Mailing Address: | 3040 E College Ave, RUSKIN |
| State: | FL |
| Postal Code: | 335705220 |
| Phone Number: | 8133313940 |
| Fax Number: | 8133313941 |
| NPI Enumeration Date: | 07/13/2015 |
| NPI Last Update Date: | 07/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SG0600X |
| License Number: | ARNP 9367297 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |