Individual
DR. MICHAEL J MACUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4122
Mailing address
3393 SUNSET KEY CIR, PUNTA GORDA, FL 33955-1971
(219) 776-7708
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01040789A
IN
207P00000X
Emergency Medicine Physician
Primary
ME99841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223685
ANTHEM BCBS
IN
05
—
036055469
—
IL
05
—
100387830
—
IN
01
—
90001082
BCBS
IL
01
—
930115712
MEDICARE RAILROAD
IN
01
—
ME99841
MEDICAL LICENSE
FL
Enumeration date
01/24/2006
Last updated
03/10/2026
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