Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Manuel Enrique Lugo, PA

Individual provider Medical Physician Assistant · NPI 1356674808

Manuel Enrique Lugo, PA is a Physician Assistant in Kissimmee, Florida. Qualified in 1985, 41 years ago. Licensed in Florida.

Years since qualifying
41
Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2809 Autumn Breeze Way
Kissimmee, FL 34744-9273
Phone: (407) 497-3041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9100273 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1356674808
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 16, 2009
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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