Individual
MR. KHRISTOPHER MICHAEL LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3644 HENDERSON BLVD STE B, TAMPA, FL 33609
(844) 789-2266
(813) 260-2411
Mailing address
3644 HENDERSON BLVD STE B, TAMPA, FL 33609-4502
(844) 789-2266
(813) 260-2411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
100638
WI
363AM0700X
Medical Physician Assistant
Primary
PA9101888
FL
363AS0400X
Surgical Physician Assistant
PA9101888
FL
Other
Enumeration date
09/11/2007
Last updated
10/23/2023
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