Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

River Watch Acute Trauma LLC

Organization Surgery Physician · NPI 1386066728

River Watch Acute Trauma LLC is a Surgery Physician in Orange Park, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 276-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Trauma Surgery Physician Taxonomy 2086S0127X

Record details

NPI number1386066728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (973) 251-1132
NPI enumeratedJanuary 18, 2014
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address13737 Noel Rd Ste 1600, Dallas, TX 75240-1374

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