Individual
DR. CHARLES PETER LAGO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N PINE ISLAND RD, SUITE 300, PLANTATION, FL 33324-1849
(954) 236-5444
(954) 236-5422
Mailing address
PO BOX 15466, PLANTATION, FL 33318-5466
(954) 236-5444
(954) 236-5422
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME66163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002966
CARE PLUS
FL
01
—
1380688
UNITED HEALTHCARE
FL
01
—
201272
AMERI GROUP
FL
01
—
202325
AVMED
FL
01
—
26971
BLUE CROSS BLUE SHIELD
FL
01
—
3392686
AETNA HMO
FL
01
—
378125900
TCA
FL
05
—
378125900
—
FL
01
—
5334
N H P
FL
01
—
5578459
AETNA PPO
FL
Enumeration date
10/19/2005
Last updated
06/17/2010
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