Individual
MS. BRIDGET JUDE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606
(813) 844-4527
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3298472
FL
363LX0106X
Occupational Health Nurse Practitioner
3298472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024577600
—
FL
01
—
Y051D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/28/2010
Last updated
03/30/2021
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