Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | ME103940 | FL |
NPI | 1134357957 |
---|---|
Provider Name | Ramon G Lugo-Sanchez |
First Address | Weston, FL 33331-3609 |
Second Address | Miramar, FL 33025-0762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2009 |
Last Update Date | 12/09/2009 |