Organization
JEFFERSON R VAUGHAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERSON ROGER VAUGHAN SR. M.D. (OWNER/SURGEON)
(561) 741-5695
Entity
Organization
Contact information
Practice address
1002 S OLD DIXIE HWY, STE 203, JUPITER, FL 33458-7202
(561) 741-5695
(561) 741-5697
Mailing address
PO BOX 7532, JUPITER, FL 33468-7532
(561) 741-5695
(561) 741-5697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME55039
FL
Other
Enumeration date
10/02/2007
Last updated
01/15/2008
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