Organization
FLORIDA REGIONAL INTENSIVIST SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 769-8341
Mailing address
PO BOX 80325, PHILADELPHIA, PA 19101-1325
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
05/19/2023
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