IndividualActive
Roland Vaughn
NPI 1093224388 · Military Health Care Provider · St Petersburg, FL
Provider details
- NPI number
- 1093224388
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
970 Lake Carillon Dr Ste 300
St Petersburg, FL 33716-1130
Phone: (303) 717-4336
Approximate (ZIP-level) locationGet directions
Mailing address
970 Lake Carillon Dr Ste 300
St Petersburg, FL 33716-1130
Registry dates
- Enumerated
- 2017-09-29
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.