Individual
EDREI LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-9322
(352) 273-8610
Mailing address
4048 EVANS AVE, SUITE 303, FT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9176217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304095000
—
FL
01
—
430068864
MCRR
FL
01
—
G2961
BSFL
FL
01
—
G2961Z
MCR
FL
Enumeration date
10/27/2005
Last updated
06/07/2023
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