Vaught, Sammy Dwight

Vaught, Sammy Dwight is an individual health care provider with primary practice located at 601 E Dixie Ave Medical Plaza 901, Leesburg FL 34748-5953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Vaught, Sammy Dwight can be contacted via phone (352) 728-2404.

Contact Information

Primary practice address
601 E Dixie Ave Medical Plaza 901 Leesburg FL 34748-5953
Phone: (352) 728-2404
Fax: (352) 787-7401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME76023 Florida

Profile Details

NPI number 1619977220
LBN Legal business name Vaught, Sammy Dwight
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jul 15th, 2019 - about 7 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 1619977220 NPPES
Florida MEDICAID 254405900

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