Provider Demographics
NPI:1003083247
Name:LOMBARDI, MILAN MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAN
Middle Name:MATTHEW
Last Name:LOMBARDI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15051 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-5182
Mailing Address - Country:US
Mailing Address - Phone:239-437-8810
Mailing Address - Fax:239-313-2555
Practice Address - Street 1:2299 9TH AVE N
Practice Address - Street 2:SUITE 1-D
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-6800
Practice Address - Country:US
Practice Address - Phone:727-328-1841
Practice Address - Fax:727-328-2640
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2016-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME116665207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH0969ZMedicare UPIN