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1023006301
LORRAINE B BEVILACQUA
TAMPA, FL
NPI
1023006301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME0077152)
Enumeration Date
2005-10-11
Last Update Date
2008-09-03
Business Address
Dr. LORRAINE B BEVILACQUA MD
4321 N MACDILL AVE SUITE 205
TAMPA, FL 33607-6388
Phone number: 813-961-7440
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Mailing Address
Dr. LORRAINE B BEVILACQUA MD
PO BOX 25317
TAMPA, FL 33622-5317
Phone number: 813-286-0033
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