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ROLAND VAUGHN
NPI 1093224388
Military Health Care Provider in St Petersburg, FL

Active since September 29, 2017
970 LAKE CARILLON DR STE 300, ST PETERSBURG, FL 33716(303) 717-4336 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Oct 24, 2017 (2 updates tracked since 2017).

About Roland Vaughn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROLAND VAUGHN (NPI 1093224388) is an individual military health care provider provider in St Petersburg, Florida and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1093224388
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameROLAND VAUGHN
Location Address970 LAKE CARILLON DR STE 300St Petersburg, FL 33716-1130
Mailing Address970 Lake Carillon Dr Ste 300St Petersburg, FL 33716-1130 · (303) 717-4336
Phone(303) 717-4336
Sole ProprietorYes
Enumeration DateSeptember 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1093224388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
970 LAKE CARILLON DR STE 300, St Petersburg, FL 33716
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Other Identifiers 1

Medicaid36510FL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCID GENETICS, CORP.
Clinic/Center (Genetics)
970 LAKE CARILLON DR STE 300
ST PETERSBURG, FL 33716
Pinellas County (727) 249-8241
DISPATCHHEALTH-FLORIDA PA
Emergency Medicine
970 LAKE CARILLON DR STE 300
ST PETERSBURG, FL 33716
Pinellas County (303) 500-1518
TRUE NORTH HEALTH NAVIGATION LLC
Emergency Medicine
970 LAKE CARILLON DR STE 300
ST PETERSBURG, FL 33716
Pinellas County (303) 500-1518
LEGACY HOME HEALTH LLC
Home Health
970 LAKE CARILLON DR STE 300
ST PETERSBURG, FL 33716
Pinellas County (303) 717-4336
THOMAS JONES LMHC
Counselor (Mental Health)
970 LAKE CARILLON DR STE 300
ST PETERSBURG, FL 33716
Pinellas County (760) 994-4990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roland Vaughn's NPI number?

The NPI number for Roland Vaughn is 1093224388. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Roland Vaughn located?

Roland Vaughn practices at 970 Lake Carillon Dr Ste 300, St Petersburg, FL 33716. The listed phone number is (303) 717-4336.

What is Roland Vaughn's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Roland Vaughn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.