Edmund Bongolan

ARNP | Nurse Practitioner | 9+ years Exp

701 N West Shore Blvd, Tampa
  Florida, 33609-1122
813-533-7080
Accepts Medicare Nurse Anesthetist in Tampa, Florida.
Edmund Bongolan is a Tampa, Florida based nurse practitioner with 9 years of experience in . He completed his graduation in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Edmund Bongolan is ARNP9310211 in Florida. His current practice location is 701 N West Shore Blvd, Tampa. Patients can reach him at 813-533-7080. Edmund Bongolan is ARNP and his NPI number (Unique professional ID assigned by NPPES) is 1073037297.
Edmund Bongolan has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Edmund Bongolan speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Edmund Bongolan
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: ARNP
Experience: 9+ years
Medical School Attended:Other
Graduation Year:2016
Accepts Medicare Assignment:Yes
Practice Address:701 N West Shore Blvd, Tampa,
Florida, 33609-1122
Phone:813-533-7080
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3173889847
Enrollment ID: I20171113002887
NPI Number: 1073037297
NPI Enumeration Date: 30 Jul, 2017
NPI Last Update On: 20 Aug, 2020

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edmund Bongolan are as mentioned below.
License NumberSpecializationStateStatus
ARNP9310211 FloridaPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Edmund Bongolan is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Farhan Siddiqi Md Pa (4284936113)16
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Edmund Bongolan
5204 Hampton Beach Pl,
Tampa, Florida
Zip: 33609-2498
Phone Number: 813-732-1749
Patients can reach Edmund Bongolan at 701 N West Shore Blvd, Tampa, Florida or can call to book an appointment on 813-533-7080.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.