1568530350 NPI number — WILLIAM M VAUGHAN PA

Table of content: WILLIAM M VAUGHAN PA (NPI 1568530350)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568530350 NPI number — WILLIAM M VAUGHAN PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VAUGHAN
Provider First Name:
WILLIAM
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568530350
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8390 CHAMPIONS GATE BLVD
Provider Second Line Business Mailing Address:
SUITE 215
Provider Business Mailing Address City Name:
CHAMPIONS GATE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33896-8310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-390-1677
Provider Business Mailing Address Fax Number:
407-390-1765

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4300 BAYOU BLVD
Provider Second Line Business Practice Location Address:
SUITE 17D
Provider Business Practice Location Address City Name:
PENSACOLA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32503-2671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-476-3131
Provider Business Practice Location Address Fax Number:
850-476-4848
Provider Enumeration Date:
12/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  PA9103838 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 276776700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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