Organization
BAY PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOSEPH VAUGHAN M.D. (PHYSICIAN/PRESIDENT)
(727) 584-9810
Entity
Organization
Contact information
Practice address
1725 E BAY DR, SUITE A, LARGO, FL 33771-2208
(727) 584-9810
(727) 584-9812
Mailing address
1725 E BAY DR, SUITE A, LARGO, FL 33771-2208
(727) 584-9810
(727) 584-9812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME71848
FL
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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