Organization Active NPI

Bond Clinic PA

  • Durable Medical Equipment & Medical Supplies
  • Winter Haven, FL
National Provider Identifier
1215398284
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
606882 Issued in FL
Legal business name
BOND CLINIC PA
Practice address
401 E Central Ave
Winter Haven, FL 33880-3051
Phone
(863) 299-9100
NPI assigned
Mar 17, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
BOND CLINIC PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Mr. Jason Moerschbacher
Title
Cfo
Phone
(863) 293-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 606882 FL Primary

Addresses

Primary practice location

401 E Central Ave
Winter Haven, FL 33880-3051

Mailing address

500 E Central Ave
Winter Haven, FL 33880-3053
Phone (863) 293-1191

Other names 1

  • Bond & Steele Clinic PA Other name

National Provider Directory

National Provider Directory
Part of
Bond Clinic PA

Locations

401 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1215398284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803053",
            "telephone_number": "863-293-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803051",
            "telephone_number": "863-299-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND CLINIC PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOND CLINIC PA",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "MOERSCHBACHER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-293-1191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "606882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bond & Steele Clinic PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.