Individual
DR. JEFFERSON ROGER VAUGHAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 S OLD DIXIE HWY, STE 203, JUPITER, FL 33458-7202
(561) 741-5695
(561) 741-5697
Mailing address
PO BOX 7532, JUPITER, FL 33468-7532
(561) 741-5695
(561) 741-5697
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
00026990
AL
208600000X
Surgery Physician
Primary
ME0055039
FL
Other
Enumeration date
04/19/2006
Last updated
10/02/2007
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