Individual
DR. EDRICK GABRIEL LUGO MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22388
PR
2085R0202X
Diagnostic Radiology Physician
44248
AL
2085R0202X
Diagnostic Radiology Physician
Primary
ME168824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122844300
—
FL
Enumeration date
07/19/2016
Last updated
09/10/2025
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