DR. MARESA LUGO


Address: 50 2nd St Se, Winter Haven, FL 33880
Phone: 8632932107

DR. MARESA LUGO (NPI# 1477856631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477856631
Entity Type Individual
Full Name DR. MARESA LUGO
Other Name DR. MARESA LUGO MONTALVO
Credential MD
Practice Address 50 2nd St Se
Winter Haven
FL 33880
Mailing Address 50 2nd St Se
Winter Haven
FL 33880-6300
Practice Telephone 8632932107
Practice Fax Number 8635954227
Mailing Telephone 8632932107
Mailing Fax Number 8635954227
Enumeration Date 2010-12-09
Last Update Date 2019-12-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
ME141199 FL Allopathic & Osteopathic Physicians
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
0101249381 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL FLORIDA BLUE YUMLF 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
8901 Wisconsin Ave, Bethesda, MD 208890001 3012954771 3012954759

Office Location

Street Address 50 2ND ST SE
City WINTER HAVEN
State FL
Zip Code 33880

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871546549 Fernando L Miranda Specialist 50 2nd St Se, Winter Haven, FL 33880-6300 2006-05-17
1992123590 Seth Andrew Macmahon Anesthesiology 50 2nd St Se, Winter Haven, FL 33880-6300 2014-04-01
1659460400 Andrea Croom Physical Therapist 50 2nd St Se, Winter Haven, FL 33880-6300 2006-10-12
1134174196 Sheryl Ann Bacheldor Physician Assistant 50 2nd St Se, Winter Haven, FL 33880-6300 2006-05-24
1306891106 James L Sanders Jr. Specialist 50 2nd St Se, Winter Haven, FL 33880-6300 2006-05-23
1992759807 Juan L Joy Specialist 50 2nd St Se, Winter Haven, FL 33880-6300 2006-05-22
1104870088 John C Amann Specialist 50 2nd St Se, Winter Haven, FL 33880-6300 2006-05-22
1548213093 Upendra Paul Harinarine Physician Assistant 50 2nd St Se, Winter Haven, FL 33880-6300 2006-05-18
1700839453 Neurology& Neurosurgery Associates Physician Assistant 50 2nd St Se, Winter Haven, FL 33880-6300 2006-05-17
1982656625 Richard Hostler Specialist 50 2nd St Se, Winter Haven, FL 33880-6300 2006-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851896955 Cheryl Gonzalez Physical Therapy Assistant 1601 6th Street Swe, Winter Haven, FL 33880 2018-03-29
1265950661 Integrity Prosthetics and Orthotics Prosthetic/Orthotic Supplier 135 1st Street South, Winter Haven, FL 33880 2017-09-06
1912423427 Stacy Lewis Counselor 1943 Ave E Sw, Winter Haven, FL 33880 2017-08-16
1497275952 Kleine Pediatrics Pediatrics 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 2017-06-26
1255851457 Farah N Habib Dentist 375 E Central Ave, Suite 361, Winter Haven, FL 33880 2017-06-20
1356878086 Congruent Hearts Companions Home Health 111 Ave R N.e., Winter, FL 33880 2017-05-12
1689033201 Jason Acosta General Practice 111 Avenue A Se, Winter Haven, FL 33880 2016-02-11
1629440573 National Vision, Inc. Technician/Technologist 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 2015-10-30
1518336825 Nicole A. Domenech General Practice 950 First St. South, Winter Haven, FL 33880 2015-09-16
1447666417 Lee Tramell Vickers Pharmacist 701 1st Street, Winter Haven, FL 33880 2014-07-10
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336251016 Jayanth Bolaram Psychiatry & Neurology 537 E Central Ave, Suite A, Winter Haven, FL 33880-3001 2006-08-31
1336192046 Shailesh Rajguru Psychiatry & Neurology 500 E Central Ave, Winter Haven, FL 33880-3053 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043820087 Lewis Leckey Hamilton Psychiatry & Neurology 471 Palm Ave, Boca Grande, FL 33921-1157 2020-08-04
1588282776 Magic Medical Specialties Corp Psychiatry & Neurology 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 2020-07-14
1235757899 Miami Headache Center, Pllc Psychiatry & Neurology 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 2020-07-10
1982220307 Thornley Health, LLC Psychiatry & Neurology 4014 Sawyer Rd, Sarasota, FL 34233 2020-06-22
1104458462 Neuro Synchrony LLC Psychiatry & Neurology 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 2020-02-05
1568008373 Tallahassee Memorial Healthcare Inc Psychiatry & Neurology 7514 Park Springs Cir, Orlando, FL 32835-2619 2019-11-27
1104387935 Remyelix Neurology & Multiple Sclerosis Institute, Pllc Psychiatry & Neurology 4907 N Florida Ave, Tampa, FL 33603-2119 2019-03-26
1811461353 Ricardo Villalobos Pa Psychiatry & Neurology 16606 Broadwater Ave, Winter Garden, FL 34787 2019-01-17
1164995528 Rayyan Neurological Association LLC Psychiatry & Neurology 10022 Crystalline Ct, Orlando, FL 32836-6024 2019-01-09
1326511007 Parkinsons & Memory Center Pa Psychiatry & Neurology 919 N Osprey Ave # B, Sarasota, FL 34236-4143 2019-01-06
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Competitor

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City WINTER HAVEN
Zip Code 33880

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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