Bongolan, Lorenzo S

Bongolan, Lorenzo S is an sole proprietor health care provider with primary practice located at 3424 W Kennedy Blvd , Tampa FL 33609-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bongolan, Lorenzo S can be contacted via phone (813) 873-8877.

Contact Information

Primary practice address
3424 W Kennedy Blvd Tampa FL 33609-2906
Fax: (813) 870-2464
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME27892 Florida

Profile Details

NPI number 1568786572
LBN Legal business name Bongolan, Lorenzo S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2010
Last updated Mar 19th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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