Lorenzo S. Bongolan, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME27892 Issued in FL

Legal business name

LORENZO S. BONGOLAN, M.D

Doing business as

DBA Comprehensive Orthopaedic Center

Practice address

3424 W Kennedy Blvd
Tampa, FL 33609-2906

Phone

(813) 874-3170

Fax

(813) 873-2220

NPI assigned

Dec 27, 2006

Last updated

Aug 6, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lorenzo Salvador Bongolan, M.D.NPI 1568786572

Title

Physician Owner

Phone

(813) 873-8877

Specialties & licenses 1

Addresses

Other names 1

• DBA Comprehensive Orthopaedic Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorenzo S Bongolan, MD

  • Orthopaedic Surgery Physician
  • Tampa, FL
  • NPI 1568786572
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1235294430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092906",
            "telephone_number": "813-874-3170",
            "fax_number": "813-873-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092906",
            "telephone_number": "813-874-3170",
            "fax_number": "813-873-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZO S. BONGOLAN, M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "BONGOLAN",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_middle_name": "SALVADOR",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "813-873-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME27892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Comprehensive Orthopaedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra B Lorente Ceballo, RBT-19-107988
• Miguel Alejandro Lorenz, M.D.
• Timothy R Lorenzen, M.D.
• Juan Antonio Lorenzo Acevedo
• Rosa Nila Lorenzo Cruz, RBT
• Belinda Lorenzo
• Marice Lorenzo
• Yenis Lorenzo
• Katherine Anne Loret de Mola
• Lourdes U Loreto, MD

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.