NPI 1023006301

Lorraine B Bevilacqua, MD

Practitioner Obstetrics & Gynecology Physician Tampa, FL

Practice location

Address: 4321 N Macdill Ave Suite 205, Tampa, FL 33607-6388
Phone: (813) 961-7440
Fax: (813) 962-0951
Mailing address: PO Box 25317, Tampa, FL 33622-5317

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence ME0077152 (FL)

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Registry record

NPI: 1023006301
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2005
Record last updated: 3 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.