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
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 040416060 (FL) |
| Surgical Physician Assistant Primary | 363AS0400X | 190611 (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.