JACQUELYN E PUGLIA
Medical Practice at Is Grn Dr, Destin, FL

License number
Florida 55553
Issued Date
Jul 17, 1989
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address 2
1516 Island Green Dr, Destin, FL 32550
653 W 23Rd St, Panama City, FL 32405
Phone
(850) 687-7971
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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Jacquelyn E Puglia M D P A

1516 Is Grn Dr, Destin, FL 32550

Industry:
Nonclassifiable Establishments
Allied Health Professional:
Jacquelyn E. Puglia (Allied Health Professional)

Jacquelyn E. Puglia, M.D., PA

Leesburg, FL  -  Destin, FL

Status:
Inactive
Doing business as:
Jacquelyn E. Puglia, MD PA
Registration:
Jul 26, 1993
Addresses:
101 S 11 St, Leesburg, FL 34748
1516 Is Grn Dr, Destin, FL 32550
PO Box 6064, Destin, FL 32550
State ID:
P93000052051
Business type:
Domestic for Profit Corporation
Managing Members:
Jacquelyn E. Puglia (Director),Central Florida Associated Primary Care Physicians, P.l Managing Member, inactive
Agent:
Alan S. Gassman

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