# PUTNAM PHYSICIAN PRACTICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ORTHOPEDICS AND SPORTS SPECIALISTS OF PUTNAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508193327
- **Authorized official:** TIMOTHY D VAUGHN (VICE PRESIDENT)
- **Authorized official phone:** (615) 372-8508

## Contact information

- **Practice address:** 3314 CRILL AVE, PALATKA, FL 32177-4162
- **Practice address phone:** (386) 328-4242
- **Practice address fax:** (386) 328-4244
- **Mailing address:** 3314 CRILL AVE, PALATKA, FL 32177-4162
- **Mailing address phone:** (386) 328-4242
- **Mailing address fax:** (386) 328-4244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2009
- **Last updated:** 12/02/2009