Individual
GERARDO J LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4085 TAMIAMI TRL N, SUITE B203, NAPLES, FL 34103-8735
(239) 261-3082
(239) 261-1035
Mailing address
4085 TAMIAMI TRL N, SUITE B203, NAPLES, FL 34103-8735
(239) 261-3082
(239) 261-1035
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME0053679
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME53679
FL
207NS0135X
Procedural Dermatology Physician
Primary
ME53679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14961
BLUE CROSS
—
Enumeration date
08/23/2005
Last updated
09/11/2025
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