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Individual

JAVIER G LUGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4081 TAMIAMI TRL N, STE C101, NAPLES, FL 34103-8738
(239) 263-4133
(239) 263-4189
Mailing address
4081 TAMIAMI TRL N, SUITE C101, NAPLES, FL 34103-8738
(239) 263-4133
(239) 263-4189

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
65726
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001403138014
UNITED HEALTHCARE
FL
01
226789
STAYWELL
FL
01
256438
AVMED
FL
01
26302
BLUE CROSS BLUE SHIELD
FL
05
269476000
FL
01
5329753
AETNA
FL
01
8008907009
CIGNA
FL
01
P00203550
RAILROAD MEDICARE
FL
Enumeration date
08/09/2005
Last updated
05/13/2008
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