Individual provider · Type 1 NPI

Ralph David Pugh, CSFA, ROT

Surgical Physician Assistant · Lady Lake, FL

NPI number 1497109227 Active

Practice location

1451 El Camino Real
Lady Lake, FL 32159-0041

Other practice locations

  • 12 Morgan Ave, Leesburg, FL 34748-8912 · (352) 396-9147

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Assistant 246ZX2200X040416060 (FL)
Surgical Physician Assistant Primary 363AS0400X190611 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1497109227

Ralph David Pugh, CSFA, ROT's National Provider Identifier is 1497109227, issued on Apr 18, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lady Lake, FL. The record was last updated on Sep 21, 2022.