Provider Demographics
NPI:1881637874
Name:LUGO, EDUARDO J (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:J
Last Name:LUGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2501 N ORANGE AVE STE 446
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4644
Mailing Address - Country:US
Mailing Address - Phone:407-303-2509
Mailing Address - Fax:407-303-2760
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:CENTER FOR NEONATAL CARE
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:407-303-2509
Practice Address - Fax:407-303-2760
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME608902080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14852OtherBCBS
FL057534800Medicaid
FL14852XMedicare PIN
FL14852OtherBCBS