Individual
RALPH DAVID PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA, ROT
Contact information
Practice address
1451 EL CAMINO REAL, LADY LAKE, FL 32159-0041
(352) 751-8000
Mailing address
1451 EL CAMINO REAL, LADY LAKE, FL 32159-0041
(352) 751-8000
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
040416060
FL
363AS0400X
Surgical Physician Assistant
Primary
190611
FL
Other
Enumeration date
04/18/2016
Last updated
09/21/2022
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