Lorraine B Bevilacqua MD

NPI 1023006301 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1023006301
Gender Female
Enumeration Date 10/11/2005
Last Updated 09/03/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
TAMPA FL, 33607-6388, US
Phone (813) 961-7440
Fax (813) 962-0951
Business Location
PO BOX 25317
TAMPA FL, 33622-5317, US
Phone (813) 286-0033
Fax (813) 282-1806
Taxonomy Code 207V00000X
License State Florida
License Number ME0077152
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According to our database, Dr. Lorraine B Bevilacqua MD NPI is 1023006301, taxonomy code is 207V00000X and license number is ME0077152, license state is located at Florida. Lorraine B Bevilacqua MD physically located at 4321 N Macdill Ave, Tampa FL, 33607-6388. NPI Number Lorraine B Bevilacqua MD has the Individual type.

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1023006301 NPI number is provided on an as is basis without warranty of any kind. 1023006301 is maintained by the National Plan & Provider Enumeration System. The contents of Lorraine B Bevilacqua MD are for informational purposes only.