Individual
EDWARD LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MM, LMT, CNS
Contact information
Practice address
1112 KYLE WOOD LN, BRANDON, FL 33511-4850
(813) 820-3030
Mailing address
1112 KYLE WOOD LN, BRANDON, FL 33511-4850
(813) 820-3030
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA77362
FL
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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