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

Mr. Khristopher Michael Lugo, PA

Individual provider Physician Assistant · NPI 1548455660

Mr. Khristopher Michael Lugo, PA is a Physician Assistant in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida and Wisconsin.

Licensed in
FL, WI
In the registry since
2007
Specialties on file
3
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

3644 Henderson Blvd Ste B
Tampa, FL 33609
Phone: (844) 789-2266
Fax: (813) 260-2411
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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 PA9101888 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 100638 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9101888 (FL)

Record details

NPI number1548455660
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 11, 2007
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

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