Individual
MANUEL ENRIQUE LUGO
Active
Individual
MANUEL ENRIQUE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
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
Update your record
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