Individual
WILLIAM M VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4300 BAYOU BLVD, SUITE 17D, PENSACOLA, FL 32503-2671
(850) 476-3131
(850) 476-4848
Mailing address
8390 CHAMPIONS GATE BLVD, SUITE 215, CHAMPIONS GATE, FL 33896-8310
(407) 390-1677
(407) 390-1765
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276776700
—
FL
Enumeration date
12/01/2006
Last updated
07/21/2016
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