Lorenzo S. Bongolan, M.d

NPI 1235294430 - Specialist - 174400000X

NPI Details
NPI 1235294430
Enumeration Date 12/27/2006
Last Updated 08/06/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LORENZO SALVADOR LORENZO
Position PHYSICIAN OWNER
Phone (813) 874-3170
Fax (813) 873-2220
Practice Location
3424 W KENNEDY BLVD
TAMPA FL, 33609-2906, US
Phone (813) 874-3170
Fax (813) 873-2220
Business Location
3424 W KENNEDY BLVD
TAMPA FL, 33609-2906, US
Phone (813) 874-3170
Fax (813) 873-2220
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME27892
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According to our database, Lorenzo S. Bongolan, M.d NPI is 1235294430, taxonomy code is 174400000X and license number is ME27892, license state is located at Florida. Lorenzo S. Bongolan, M.d physically located at 3424 W Kennedy Blvd, Tampa FL, 33609-2906. NPI Number 1033115704 has the healthcare provider type.

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1235294430 NPI number is provided on an as is basis without warranty of any kind. 1235294430 is maintained by the National Plan & Provider Enumeration System. The contents of Lorenzo S. Bongolan, M.d are for informational purposes only.