Provider Demographics
NPI:1083801369
Name:PUGH, KARIN L (LM)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:L
Last Name:PUGH
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 NE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6750
Mailing Address - Country:US
Mailing Address - Phone:352-612-0657
Mailing Address - Fax:352-519-4248
Practice Address - Street 1:1008 NE 2ND ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6750
Practice Address - Country:US
Practice Address - Phone:352-612-0657
Practice Address - Fax:352-519-4248
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW209176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife