Edmund Bongolan ARNP
Nurse Practitioner in Tampa, FL(View on Map)
Full Name
Edmund Bongolan ARNP
NPI Number
1073037297
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/30/2017
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ARNP9310211
Contact
Information
Purpose
Mailing
Location
Address
5204 HAMPTON BEACH PL
701 N WEST SHORE BLVD
City
Tampa
Tampa
State
FL
FL
Postal Code
33609-2498
33609-1122
Country
US
US
Telephone Number
(813) 732-1749
(813) 533-7080
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/20/2020