Individual
ROBERT JOSEPH VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
725 N 12TH AVE, ARCADIA, FL 34266-8752
(863) 494-1242
(863) 491-0466
Mailing address
PO BOX 997, PALMETTO, FL 34220-0997
(941) 776-4000
(941) 776-4013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW1556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18354
BCBS
FL
05
—
371629500
—
FL
Enumeration date
08/05/2006
Last updated
10/27/2015
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