Organization
LORENZO S. BONGOLAN, M.D
Active
Other names
DBA Comprehensive Orthopaedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENZO SALVADOR BONGOLAN M.D. (PHYSICIAN OWNER)
(813) 873-8877
Entity
Organization
Contact information
Practice address
3424 W KENNEDY BLVD, TAMPA, FL 33609-2906
(813) 874-3170
(813) 873-2220
Mailing address
3424 W KENNEDY BLVD, TAMPA, FL 33609-2906
(813) 874-3170
(813) 873-2220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME27892
FL
Other
Enumeration date
12/27/2006
Last updated
08/06/2008
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