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Lorenzo S. Bongolan, M.d
Specialist in Tampa, Florida
NPI 1235294430

Lorenzo S. Bongolan, M.d is a Specialist based in Tampa, FL. Lorenzo S. Bongolan, M.d practices in Tampa, FL. The NPI Number for Lorenzo S. Bongolan, M.d is 1235294430 and holds a License No. ME27892 (Florida).

The current practice location address for Lorenzo S. Bongolan, M.d is 3424 W Kennedy Blvd, Tampa, FL and can be reached out via phone at 813-874-3170 and via fax at 813-873-2220.

Location: 3424 W Kennedy Blvd, Tampa, FL, 33609-2906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235294430
Provider Name
Lorenzo S. Bongolan, M.d
Credential
Provider Entity Type
Organization
Address
3424 W Kennedy Blvd, Tampa, FL, 33609-2906
Phone Number
813-874-3170
Fax Number
813-873-2220
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3424 W Kennedy Blvd
City
Tampa
State
Florida
Zip
33609-2906
Phone Number
813-874-3170
Fax Number
813-873-2220
person
Provider Business Mailing Address Details
Address
3424 W Kennedy Blvd
City
Tampa
State
Florida
Zip
33609-2906
Phone Number
813-874-3170
Fax Number
813-873-2220
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME27892 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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