Individual
BONNIE LOHRBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5802 N 30TH ST, TAMPA, FL 33610-1469
(813) 236-5350
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 236-5350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME131264
FL
207R00000X
Internal Medicine Physician
18282
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02532731
—
MS
Enumeration date
03/14/2006
Last updated
06/08/2021
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