Individual provider · Type 1 NPI

Roland Vaughn

Military Health Care Provider · St. Petersburg, FL

NPI number 1093224388 Active

Practice location

970 Lake Carillon Dr Ste 300
St. Petersburg, FL 33716-1130

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

5 other providers at this address

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About NPI 1093224388

Roland Vaughn's National Provider Identifier is 1093224388, issued on Sep 29, 2017. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 21, 2022.