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Search › Florida › 363L00000X

Edmund Bongolan, ARNP

NPI 1073037297 · on the registry since 2017

Practice

Address
701 N West Shore Blvd
Tampa, FL 33609
Phone
(813) 533-7080
Organisation at this address
Farhan Siddiqi, Md Pa
Undersea Oxygen Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida