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Organization

RIVER WATCH ACUTE TRAUMA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization

Contact information

Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 276-8500
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(954) 838-2371

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0127X
Trauma Surgery Physician

Other

Enumeration date
01/18/2014
Last updated
03/23/2023
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