Individual provider · Type 1 NPI
Manuel Enrique Lugo, P.A.
Medical Physician Assistant · Kissimmee, FL
NPI number
1356674808
Active
Practice location
2809 Autumn Breeze Way
Kissimmee, FL 34744-9273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9100273 (FL) |
| Physician Assistant | 363A00000X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1356674808
Manuel Enrique Lugo, P.A.'s National Provider Identifier is 1356674808, issued on Sep 16, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kissimmee, FL. The record was last updated on Oct 21, 2025.