Individual
MR. BASILIO G LUGONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
17978 NW 59TH AVE UNIT 102, HIALEAH, FL 33015-5179
(754) 281-0830
Mailing address
17978 NW 59TH AVE UNIT 102, HIALEAH, FL 33015-5179
(754) 281-0830
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11004487
FL
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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