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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORENZO S. BONGOLAN, M.D

Active Organization

LORENZO S. BONGOLAN, M.D is a Specialist organization located in TAMPA, Florida. NPI 1235294430 is currently active in the NPPES registry. Verify at CMS.

Specialist · TAMPA, FL

Registration Details

NPI Number
1235294430
Provider Type
Organization
NPI Issued
Dec 27, 2006 (19.61431296709 yrs)
Last Updated
Aug 6, 2008
License
ME27892 (FL)

Practice Information

Address
3424 W KENNEDY BLVD
TAMPA, FL, 336092906
Browse FL providers · Browse ZIP 33609
Phone
8138743170
Fax
8138732220
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.