Vaughn, Roland
Vaughn, Roland is an sole proprietor health care provider with primary practice located at 970 Lake Carillon Dr Ste 300 , St Petersburg FL 33716-1130. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Vaughn, Roland can be contacted via phone (303) 717-4336.Contact Information
Primary practice address
970 Lake Carillon Dr Ste 300
St Petersburg FL 33716-1130
Phone: (303) 717-4336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | Florida |
Profile Details
| NPI number | 1093224388 |
|---|---|
| LBN Legal business name | Vaughn, Roland |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093224388 | NPPES |
| Florida | MEDICAID | 36510 |
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