Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edmund Bongolan, ARNP

Individual provider Nurse Practitioner · NPI 1073037297

Edmund Bongolan, ARNP is a Nurse Practitioner in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

701 N West Shore Blvd
Tampa, FL 33609-1122
Phone: (813) 533-7080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9310211 (FL)

Record details

NPI number1073037297
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJuly 30, 2017
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

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