| Mark Vaughn, DPM | |
|
6100 Minton Rd Nw Ste 101, Palm Bay, FL 32907-1900 | |
| (321) 802-4075 | |
| (321) 802-4074 |
| Full Name | Mark Vaughn |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 10 Years |
| Location | 6100 Minton Rd Nw Ste 101, Palm Bay, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477948917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3992 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Provider Name | Space Coast Podiatry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740037597 PECOS PAC ID: 3870030547 Enrollment ID: O20240731002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Vaughn, DPM 6100 Minton Rd Nw Ste 101, Palm Bay, FL 32907-1900 Ph: (321) 802-4075 | Mark Vaughn, DPM 6100 Minton Rd Nw Ste 101, Palm Bay, FL 32907-1900 Ph: (321) 802-4075 |
Briant G Moyles Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 590 Malabar Rd Se Ste 5, Palm Bay, FL 32907 Phone: 321-723-3500 | |
Dr. Bruce Martin Nigro, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2101 Pumpkin Pl Ne, Palm Bay, FL 32905 Phone: 321-412-1705 Fax: 321-726-5959 | |
Space Coast Podiatry Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 6100 Minton Rd Nw Ste 101, Palm Bay, FL 32907 Phone: 321-802-4075 | |
Dr. Michael John Ayres, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 910 Malabar Rd Se, Ste 1, Palm Bay, FL 32907 Phone: 321-722-0000 Fax: 321-768-0085 | |
Shelly A Garrow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4670 Babcock St Ne, Palm Bay, FL 32905 Phone: 321-723-3498 Fax: 321-723-2761 |