RALPH DAVID PUGH CSFA ROT NPI 1497109227

NPI Information

NPI: 1497109227
Provider Name: RALPH DAVID PUGH, CSFA, ROT
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1451 EL CAMINO REAL
LADY LAKE, FL
ZIP 32159
Phone: (352) 751-8000
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Ralph David Pugh, CSFA, ROT is a surgical physician assistant in Lady Lake, FL. Ralph David Pugh, CSFA, ROT NPI is 1497109227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1451 EL CAMINO REAL
LADY LAKE, FL
ZIP 32159-041
Phone: (352) 751-8000

The enumeration date for this NPI number is 4/18/2016 and was last updated on 9/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZX2200X	Specialist/Technologist, Other	Orthopedic Assistant	040416060	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	190611	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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