# LOMBA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295764967
- **Authorized official:** FERNANDO L LOMBA MD (OWNER)
- **Authorized official phone:** (941) 286-6165

## Contact information

- **Practice address:** 2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
- **Practice address phone:** (941) 766-4267
- **Practice address fax:** (941) 505-1466
- **Mailing address:** PO BOX 144333, ORLANDO, FL 32814-4333
- **Mailing address phone:** (941) 286-6165
- **Mailing address fax:** (407) 648-2065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | FL | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 04/25/2024