Individual
CASEY VAUGHAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1543 KINGSLEY AVE STE 3, ORANGE PARK, FL 32073-4583
(904) 904-2640
(904) 264-0670
Mailing address
8160 MERRIAN RD, KEYSTONE HEIGHTS, FL 32656-9306
(904) 655-9994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11028086
FL
Other
Enumeration date
08/16/2023
Last updated
07/15/2026
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