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Individual

HARRY VAN LOVEREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 TAMPA GENERAL CIR, 7TH FLOOR, TAMPA, FL 33606-3603
(813) 974-5138
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME95610
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000828100
FL
01
17024
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/18/2006
Last updated
05/08/2009
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