Organization
PUTNAM PHYSICIAN PRACTICES LLC
Active
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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