Organization · Type 2 NPI

Lorenzo S. Bongolan, M.d

Specialist · Tampa, FL

NPI number 1235294430 Active

Practice location

3424 W Kennedy Blvd
Tampa, FL 33609-2906

Call (813) 874-3170 Map

Fax (813) 873-2220

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME27892 (FL)

Specialist: 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.

4 other providers at this address

Other specialist providers in Tampa

See all in Tampa →

About NPI 1235294430

Lorenzo S. Bongolan, M.d's National Provider Identifier is 1235294430, issued on Dec 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tampa, FL. The record was last updated on Aug 6, 2008.