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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FLORIDA BLUE | YUMLF | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
8901 Wisconsin Ave, Bethesda, MD 208890001 | 3012954771 | 3012954759 |
Street Address |
50 2ND ST SE |
City | WINTER HAVEN |
State | FL |
Zip Code | 33880 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 33880 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | WINTER HAVEN |
Zip Code | 33880 |
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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.