MIRTA LUGO APRN NPI 1336860493

NPI Information

  • NPI: 1336860493
  • Provider Name: MIRTA LUGO, APRN
  • Classification: Nurse Practitioner - 363LC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14254 DR MARTIN LUTHER KING JR BLVD
    DOVER, FL
    ZIP 33527
  • Phone: (813) 653-6100

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NPI Details

Mirta Lugo, APRN is a community health nurse practitioner in Dover, FL with 4 years of experience. Mirta Lugo, APRN NPI is 1336860493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14254 DR MARTIN LUTHER KING JR BLVD
DOVER, FL
ZIP 33527-414
Phone: (813) 653-6100

The NPI 1336860493 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 9/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC1500XRegistered NurseCommunity Health9193993FLORIDANo
2363LC1500XNurse PractitionerCommunity HealthAPRN11021969FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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