Individual
DR. JENNIFER VAUGHN SARTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3278
(321) 434-7000
Mailing address
PO BOX 2400, MELBOURNE, FL 32902-2400
(321) 255-9671
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 97997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME97997
MEDICAL LICENSE
FL
Enumeration date
06/01/2007
Last updated
12/28/2020
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