Pugh, Diane L
Pugh, Diane L is an individual health care provider with primary practice located at 1215 S 25Th St , Fort Pierce FL 34947-4702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pugh, Diane L can be contacted via phone (772) 468-5925.Contact Information
Primary practice address
1215 S 25Th St
Fort Pierce FL 34947-4702
Phone: (772) 468-5925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS0006117 | Florida |
Profile Details
| NPI number | 1073590667 |
|---|---|
| LBN Legal business name | Pugh, Diane L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jan 18th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073590667 | NPPES |
| Florida | Other | OS0006117 | MEDICAL LICENSE |
| Florida | Other | 80576 | MEDICAL LICENSE |
| Florida | Other | P01744365 | MEDICAL LICENSE |
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