Individual
SHANTELL LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8215 SW 72ND AVE APT 1318, SOUTH MIAMI, FL 33143-7871
(786) 992-7036
Mailing address
8215 SW 72ND AVE APT 1318, SOUTH MIAMI, FL 33143-7871
(786) 992-7036
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MA88855
FL
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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