Individual
MANUEL ENRIQUE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2809 AUTUMN BREEZE WAY, KISSIMMEE, FL 34744-9273
(407) 497-3041
Mailing address
2809 AUTUMN BREEZE WAY, KISSIMMEE, FL 34744-9273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9100273
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113462500
—
FL
01
—
PA9100273
FL MEDICAL LICENSE
FL
Enumeration date
09/16/2009
Last updated
10/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us