Provider Demographics
NPI:1619853504
Name:LUGO RODRIGUEZ, DANIEL OMAR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:OMAR
Last Name:LUGO RODRIGUEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24681 NW 11TH PL
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2962
Mailing Address - Country:US
Mailing Address - Phone:787-326-0939
Mailing Address - Fax:
Practice Address - Street 1:5200 SW 34TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-5010
Practice Address - Country:US
Practice Address - Phone:352-375-1496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS69355183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist