Paul Bond, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 2730962 Issued in FL

Legal business name

PAUL BOND, LLC

Doing business as

Bespoke Health

Practice address

704 E Moody Blvd
Unit 957
Bunnell, FL 32110-5922

Phone

(386) 986-6469

Fax

(386) 437-6969

NPI assigned

Apr 19, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul Bond, ARNP

Title

Managing Member

Phone

(386) 986-6469

Specialties & licenses 1

Addresses

Other names 1

• Bespoke Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1093249724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321100957",
            "telephone_number": "386-986-6469",
            "fax_number": "386-437-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E MOODY BLVD",
            "address_2": "UNIT 957",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321105922",
            "telephone_number": "386-986-6469",
            "fax_number": "386-437-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "386-986-6469",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2730962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bespoke Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Bunnell, FL
• Providers in Bunnell, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.