Individual
LUCAS DE VIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Mailing address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1019092
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
1943
FL
Other
Enumeration date
09/02/2016
Last updated
08/19/2025
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