Organization
PUTNAM PHYSICIAN PRACTICES LLC
Active
Other names
PUTNAM CARDIOVASCULAR ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D. VAUGHN (VICE PRESIDENT)
(615) 372-8508
Entity
Organization
Contact information
Practice address
3314 CRILL AVE, SUITE 1A, PALATKA, FL 32177-4162
(386) 328-4237
(386) 328-4252
Mailing address
3314 CRILL AVE, SUITE 1A, PALATKA, FL 32177-4162
(386) 328-4237
(386) 328-4252
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/04/2010
Last updated
05/05/2010
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