Individual
MATTHEW VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 1602, JACKSONVILLE, FL 32216-6298
(904) 945-7556
(904) 379-0113
Mailing address
6817 SOUTHPOINT PKWY STE 1602, JACKSONVILLE, FL 32216-6298
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32979
FL
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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