Individual
WANDA IRIZARRY LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
196 SE 36TH AVE, HOMESTEAD, FL 33033-5948
(786) 759-2002
Mailing address
196 SE 36TH AVE, HOMESTEAD, FL 33033-5948
(786) 759-2002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11046118
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
11046118
FL
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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