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Organization

LOMBA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FERNANDO L LOMBA MD (OWNER)
(941) 286-6165
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274181400
FL
Enumeration date
07/03/2006
Last updated
04/25/2024
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