| NPI | 1124215363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERSON ROGER VAUGHAN Owner/Surgeon 561-741-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME55039) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-01-15 |