Vaughan, Audrea Olivia

Vaughan, Audrea Olivia is an individual health care provider with primary practice located at 160 Nw 170Th St , North Miami Beach FL 33169-5576. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Vaughan, Audrea Olivia can be contacted via phone (305) 651-1100.

Contact Information

Primary practice address
160 Nw 170Th St North Miami Beach FL 33169-5576
Phone: (305) 651-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 004366 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS14060 Florida

Profile Details

NPI number 1023339355
LBN Legal business name Vaughan, Audrea Olivia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2010
Last updated Apr 29th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023339355 NPPES
Georgia Other P01202428 RAILROAD MEDICARE
Georgia MEDICAID 003123893B RAILROAD MEDICARE
Georgia MEDICAID GA1452 RAILROAD MEDICARE

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