Provider Demographics
NPI:1043853245
Name:VAUGHN, TEMIKA LASHAUN (CNA,CPR,APD DCCC,ETC)
Entity Type:Individual
Prefix:
First Name:TEMIKA
Middle Name:LASHAUN
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:CNA,CPR,APD DCCC,ETC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 GILA DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-5930
Mailing Address - Country:US
Mailing Address - Phone:786-305-1750
Mailing Address - Fax:
Practice Address - Street 1:681 GILA DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-5930
Practice Address - Country:US
Practice Address - Phone:786-305-1750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1930313747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty