Individual
HANNAH VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3670 INNOVATION DR, LAKELAND, FL 33812-4105
(863) 686-2282
(863) 686-2370
Mailing address
801 ANCHOR RODE DR, SUITE 100, NAPLES, FL 34103-2751
(239) 263-1717
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109977
FL
Other
Enumeration date
11/08/2016
Last updated
01/31/2020
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