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Contact Information

RALPH D PUGH, CSFA, ROT
1451 EL CAMINO REAL
LADY LAKE, FL32159-0041
 Phone: 352-751-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Orthopaedic Assistant

246ZX2200X
Indicates primary specialty

NPI Profile & details for RALPH D PUGH · (Male)

NPI Number 1497109227
Status Active
Credentials CSFA, ROT
Entity Individual
Enumeration date 04/18/2016
Last updated 09/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 040416060
  • FL License # 190611
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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