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

Shane Vaughan, ATC

Individual provider Athletic Trainer · NPI 1477009884

Shane Vaughan, ATC is an Athletic Trainer in Miami, Florida. Licensed in Florida and Virginia. Registered with an NPI since 2016.

Licensed in
FL, VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

11200 SW 8th Street AHC3 Rm 335
Miami, FL 33199-0001
Phone: (305) 348-3167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL4703 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence 0126002067 (VA)

Record details

NPI number1477009884
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 27, 2016
Last updated in NPPESAugust 27, 2016
Mailing address11200 Sw 8th Street Ahc3 Rm 335, Miami, FL 33199-0001

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