Active NPI
Victor M Lugo, M.D.
- Family Medicine Physician
- Leesburg, FL
National Provider Identifier
1669669016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME109625
- Practice address
- 802 E Dixie Ave
Leesburg, FL 34748-6014 - Phone
- (352) 728-6808
- Fax
- (352) 728-1743
- NPI assigned
- Oct 1, 2007
- Last updated
- Jul 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME109625 | FL | Primary |
Addresses
Primary practice location
802 E Dixie Ave
Leesburg, FL 34748-6014
Mailing address
511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328
Phone (352) 728-6808
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME109625 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Past | Accepting new patients |
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": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1669669016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MEDICAL PLAZA DR STE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487328",
"telephone_number": "352-728-6808",
"fax_number": "352-728-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347486014",
"telephone_number": "352-728-6808",
"fax_number": "352-728-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO",
"first_name": "VICTOR",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-01",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME109625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.