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Individual

MIRIAN DOLORES LUGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3319 S STATE ROAD 7 STE 109, WELLINGTON, FL 33449-8099
(561) 798-5437
(561) 798-7726
Mailing address
3319 S STATE ROAD 7 STE 109, WELLINGTON, FL 33449-8099
(561) 798-5437
(561) 798-7726

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME148908
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12753400
FL
Enumeration date
07/24/2007
Last updated
12/22/2025
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