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Ideal Pugh

NPI 1952616112 · on the registry since 2010 · sole proprietor

Practice

Address
1855 Cassat Ave
Suite 11
Jacksonville, FL 32210
Phone
(904) 381-7060
Fax
(904) 381-7063
Organisation at this address
Mayhugh Drugs Inc
Csi-Pediatric Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
251C00000X
251C00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida