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1568786572
LORENZO S BONGOLAN
TAMPA, FL
NPI
1568786572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: FL ME27892)
Enumeration Date
2010-03-19
Last Update Date
2010-03-19
Business Address
Dr. LORENZO S BONGOLAN MD
3424 W KENNEDY BLVD
TAMPA, FL 33609-2906
Phone number: 813-873-8877
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Mailing Address
Dr. LORENZO S BONGOLAN MD
3424 W KENNEDY BLVD
TAMPA, FL 33609-2906
Phone number: 813-873-8877
Copy
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