Individual
KEITH K PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPSGT
Contact information
Practice address
1015 ONTARIO ST, JACKSONVILLE, FL 32254-2073
(904) 387-6606
Mailing address
1015 ONTARIO ST, JACKSONVILLE, FL 32254-2073
(904) 387-6606
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
5281
NY
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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