Lorenzo S. Bongolan, M.D in Tampa - Specialist

Lorenzo S. Bongolan, M.D - NPI 1235294430

Lorenzo S. Bongolan, M.D is a Specialist in Tampa, Florida. Lorenzo S. Bongolan, M.D practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lorenzo S. Bongolan, M.D is 1235294430. The last update date is 2008-08-06.

Lorenzo S. Bongolan, M.D's current location address is 3424 W Kennedy Blvd, Tampa, Florida. You can contact this provider via phone number 8138743170 and fax number 8138732220. The mailing address for Lorenzo S. Bongolan, M.D is 3424 W Kennedy Blvd, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lorenzo S. Bongolan, M.D
Address 3424 W Kennedy Blvd, Tampa, Florida
Phone Number 8138743170
Fax Number 8138732220
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Bongolan Salvador Lorenzo
Credentials M.D.
Telephone Number 8138738877

NPI Number Detail

NPI Number 1235294430
Provider Enumeration Date 2006-12-27
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address 3424 W Kennedy Blvd
City Tampa
State Florida (FL)
Post Code 336092906
Phone Number 8138743170
Fax Number 8138732220

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME27892
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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FAQs about Lorenzo S. Bongolan, M.D

What is the unique 10-digit identification code assigned to Lorenzo S. Bongolan, M.D by the Centers for Medicare & Medicaid Services?

The Lorenzo S. Bongolan, M.D has been issued the NPI (National Provider Identifier) 1235294430, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lorenzo S. Bongolan, M.D is geographically located?

The Lorenzo S. Bongolan, M.D is physically situated at the following location: 3424 W Kennedy Blvd, Tampa, FL, 336092906.

What is Lorenzo S. Bongolan, M.D's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lorenzo S. Bongolan, M.D is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

When did the Lorenzo S. Bongolan, M.D receive its 1235294430?

The Lorenzo S. Bongolan, M.D was issued its 1235294430 on 2006-12-27, which is the date when the organization was assigned this unique identifier.

As of what date were the Lorenzo S. Bongolan, M.D's details last updated?

The information pertaining to the Lorenzo S. Bongolan, M.D, including its address, specialty, and other details, was most recently updated on 2008-08-06.

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