| NPI | 1033509062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH VAUGHAN Physician/President 727-584-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME71848) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |