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LORENZO S. BONGOLAN M.D NPI 1235294430


NPI Information

NPI: 1235294430
Provider Name: LORENZO S. BONGOLAN, M.D

Doing Business As: DBA COMPREHENSIVE ORTHOPAEDIC CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3424 W KENNEDY BLVD
TAMPA, FL
ZIP 33609
Phone: (813) 874-3170
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LORENZO S. BONGOLAN, M.D is a specialist in Tampa, FL. The provider is 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. LORENZO S. BONGOLAN, M.D NPI is 1235294430. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Comprehensive Orthopaedic Center.

The provider's business location address is:

3424 W KENNEDY BLVD
TAMPA, FL
ZIP 33609-906
Phone: (813) 874-3170
Fax: (813) 873-2220

The provider's authorized official is Lorenzo Salvador Bongolan .
The authorized official title is Physician Owner and has the following contact phone number (813) 873-8877.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME27892FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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