Lugo Millan, Edrick Gabriel

Lugo Millan, Edrick Gabriel is an individual health care provider with primary practice located at 400 Health Park Blvd , St Augustine FL 32086-5784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lugo Millan, Edrick Gabriel can be contacted via phone (904) 819-5155.

Contact Information

Primary practice address
400 Health Park Blvd St Augustine FL 32086-5784
Phone: (904) 819-5155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME168824 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44248 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22388 Puerto Rico

Profile Details

NPI number 1194178673
LBN Legal business name Lugo Millan, Edrick Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2016
Last updated Sep 10th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194178673 NPPES
Florida MEDICAID 122844300

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