Provider Demographics
NPI:1124289004
Name:VOUGHT, VICTORIA DIANE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:DIANE
Last Name:VOUGHT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:1401 FORUM WAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401
Mailing Address - Country:US
Mailing Address - Phone:561-242-0505
Mailing Address - Fax:561-242-9548
Practice Address - Street 1:1401 FORUM WAY
Practice Address - Street 2:SUITE 300
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401
Practice Address - Country:US
Practice Address - Phone:561-242-0505
Practice Address - Fax:561-242-9548
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 2749392363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics