Individual
COLLEEN BERNADETTE GAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 CELEBRATION PL STE A290, CELEBRATION, FL 34747-4970
(407) 303-3827
(407) 303-3828
Mailing address
400 CELEBRATION PL STE A290, CELEBRATION, FL 34747-4970
(407) 303-3827
(407) 303-3828
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
436448
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A93822
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME158876
FL
Other
Enumeration date
06/28/2006
Last updated
10/31/2022
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