Jacquelyn E Puglia MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME55553 Issued in FL

Legal business name

JACQUELYN E PUGLIA MD, PA

Practice address

755 Grand Blvd Ste B-105209
Miramar Beach, FL 32550-1838

Phone

(850) 862-2154

NPI assigned

Jun 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Megan Farella

Title

Billing Specialist

Phone

(850) 862-2154

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1407349608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 GRAND BLVD STE B-105209",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 GRAND BLVD STE B-105209",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501838",
            "telephone_number": "850-862-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN E PUGLIA MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "FARELLA",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "850-862-2154"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME55553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.