DR JAVIER LUGO MD INC
Ambulatory Health at Tamiami Trl, Naples, FL

License number
Florida 65726
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. JAVIER G LUGO M.D.
Title: OWNER
Phone: (239) 263-4133
Address
Address
4081 Tamiami Trl N SUITE C101, Naples, FL 34103
National Provider ID: 1972938108
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR JAVIER LUGO, MD, INC

Naples, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Dec 15, 2008
Inactive since:
Oct 2, 2014
Addresses:
4081 Tamiami Trl North C-101, Naples, FL 34103 (Physical)
4081 Tamiami Trl N, Naples, FL 34103
State ID:
P08000108407
Business type:
Florida Profit Corporation
President:
Javier Gdr Lugo (President), 4801 Tamiami Trl N SUITE C-101, Naples, FL 34103 (Physical)
Agent:
Lugo, Javier G, Dr,4081 Tamiami Trl N, Naples, FL 34103 (Physical)
EIN:
26-3866838

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