Provider Demographics
NPI:1700902772
Name:LOMBARDO, GIUSEPPE P (CPED,)
Entity Type:Individual
Prefix:MR
First Name:GIUSEPPE
Middle Name:P
Last Name:LOMBARDO
Suffix:
Gender:M
Credentials:CPED,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8530 SW HIGHWAY 200
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-2100
Mailing Address - Country:US
Mailing Address - Phone:352-854-2292
Mailing Address - Fax:352-854-8517
Practice Address - Street 1:8530 SW HIGHWAY 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-2100
Practice Address - Country:US
Practice Address - Phone:352-854-2292
Practice Address - Fax:352-854-8517
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPED 7335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5068580001Medicare NSC