Organization
BANGUS SURGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
6000 49TH ST N, ST PETERSBURG, FL 33709-2114
(469) 401-2386
Mailing address
PO BOX 80333, PHILADELPHIA, PA 19101-1333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
01/08/2015
Last updated
05/19/2023
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