Individual
JOHANNA LUGO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1620 DANIELS RD, WINTER GARDEN, FL 34787-5602
(407) 253-1000
(407) 253-1010
Mailing address
8181 NW 154TH ST STE 200, MIAMI LAKES, FL 33016-5861
(305) 558-3724
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104600700
—
FL
Enumeration date
08/21/2015
Last updated
08/12/2026
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