MEDICARE: JOHN PUGLISI MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1013191170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN PUGLISI MD PA

Provider Business Mailing Address
First Line	:	182 NE 168TH ST # 303
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3412
Country	:	US
Telephone Number	:	305-651-4300
Fax Number	:	305-651-0701

Provider Business Practice Location Address
First Line	:	182 NE 168TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3412
Country	:	US
Telephone Number	:	305-651-4300
Fax Number	:	305-651-0701

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN A PUGLISI
Credential	:	M.D.
Telephone Number	:	305-651-4300

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	09/09/2020

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