JEFFERSON R VAUGHAN MD PA
NPI 1124215363
Specialist in Jupiter, FL

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since October 02, 2007

1002 S OLD DIXIE HWY, STE 203, JUPITER, FL 33458(561) 741-5695(561) 741-5697 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jefferson R Vaughan Md Pa NPPES

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

JEFFERSON R VAUGHAN MD PA (NPI 1124215363) is a healthcare organization registered as a specialist in Jupiter, Florida and active in the NPI registry since October 2007. The organization lists Jefferson Roger Vaughan, Owner/surgeon, as its authorized official.

NPPES Registry Identity

NPI1124215363

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJEFFERSON R VAUGHAN MD PA

Location Address1002 S OLD DIXIE HWY, STE 203Jupiter, FL 33458-7202

Mailing AddressPo Box 7532Jupiter, FL 33468-7532 · (561) 741-5695 · Fax (561) 741-5697

Phone(561) 741-5695

Fax(561) 741-5697

Organization SubpartNo

Authorized OfficialJefferson Roger VaughanOwner/surgeon · (561) 741-5695

Enumeration DateOctober 2, 2007

Last NPPES UpdateJanuary 15, 2008

✔ NPI 1124215363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME55039

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1002 S OLD DIXIE HWY, Jupiter, FL 33458

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Other Identifiers 1

Medicare UPING03497FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP