Individual provider Active NPI

Johanna Lugo Gonzalez, AUD

  • Audiologist
  • Winter Garden, FL
National Provider Identifier
1063888394
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2162 Issued in FL
Practice address
1620 Daniels Rd
Winter Garden, FL 34787-5602
Phone
(407) 253-1000
Fax
(407) 253-1010
NPI assigned
Aug 21, 2015
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2162 FL Primary

Addresses

Primary practice location

1620 Daniels Rd
Winter Garden, FL 34787-5602

Mailing address

8181 NW 154TH St Ste 200
Miami Lakes, FL 33016-5861
Phone (305) 558-3724

Other practice location 1

790 Concourse Pkwy S Ste 110
Maitland, FL 32751-6114
Phone (407) 253-1000

Other practice location 2

2660 W Fairbanks Ave
Winter Park, FL 32789-3385
Phone (407) 898-2767

Other identifiers 1

IdentifierTypeStateIssuer
104600700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. CurrentSince Jan 17, 2022 Accepting new patients

Locations

8940 N Kendall Dr
Ste 504E
Miami, FL 33176
Phone (305) 595-6200

8181 NW 154th St
Ste 200
Miami Lakes, FL 33016
Phone (225) 298-3537

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1063888394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 154TH ST STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165861",
            "telephone_number": "305-558-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 DANIELS RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875602",
            "telephone_number": "407-253-1000",
            "fax_number": "407-253-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Concourse Pkwy S Ste 110",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327516114",
            "country_code": "US",
            "telephone_number": "407-253-1000",
            "fax_number": "407-253-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2660 W Fairbanks Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327893385",
            "country_code": "US",
            "telephone_number": "407-898-2767",
            "fax_number": "407-898-9443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO GONZALEZ",
        "first_name": "JOHANNA",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104600700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.