EDMUND BONGOLAN

TAMPA, FL
NPI1073037297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP9310211)
Enumeration Date2017-07-30
Last Update Date2020-08-20
Business Address
EDMUND BONGOLAN ARNP
701 N WEST SHORE BLVD
TAMPA, FL 33609-1122
Phone number: 813-533-7080
Mailing Address
EDMUND BONGOLAN ARNP
5204 HAMPTON BEACH PL
TAMPA, FL 33609-2498
Phone number: 813-732-1749
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