Individual
JEREMIAH VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1599 SW 113 AVE, PVH-614D, MIAMI, FL 33174
(904) 966-1321
Mailing address
1599 SW 113 AVE, PVH-614D, MIAMI, FL 33174
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
07/05/2023
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