Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME34163 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME34163 | FL |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME34163 | FL |
NPI | 1083618854 |
---|---|
Provider Name | Dr. William G. Pujadas |
First Address | Jacksonville, FL 32207-8568 |
Second Address | Jacksonville, FL 32207-8566 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 16/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010017794 | RAILROAD MEDICARE (01) | FL |
038151900 | (05) | FL |
D50903 | (02) | FL |