Individual
CASSIDI ANNE SORENSEN LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 872-2741
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9367261
FL
363LF0000X
Family Nurse Practitioner
APRN9367261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110658000
—
FL
Enumeration date
04/27/2017
Last updated
07/09/2025
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