Male or Other

William M. Vaughan PA

Medical Physician Assistant in Pensacola, FL(View on Map)

Full Name

William M Vaughan PA

NPI Number

1568530350

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/01/2006

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9103838

Contact
Information

Purpose

Mailing
Location

Address

8390 CHAMPIONS GATE BLVD
4300 BAYOU BLVD

City

Champions Gate
Pensacola

State

FL
FL

Postal Code

33896-8310
32503-2671

Country

US
US

Telephone Number

(407) 390-1677
(850) 476-3131

Identifiers

Identifier

276776700

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2016

Provider Address

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