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Search › Florida › 207X00000X

Lorenzo Bongolan, MD

NPI 1568786572 · on the registry since 2010 · sole proprietor

Practice

Address
3424 W Kennedy Blvd
Tampa, FL 33609
Phone
(813) 873-8877
Fax
(813) 870-2464
Organisation at this address
American Mri Llc
Lorenzo S. Bongolan, M.D
Medical Specialists Of Tampa Bay
After Care Centers Of Florida Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207X00000X
207X00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-19

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