Michael Jay Bond, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME88229 Issued in FL

Practice address

1120 Citrus Tower Blvd Ste 330
Clermont, FL 34711-1945

Phone

(352) 241-4298

Fax

(352) 241-7620

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1285742007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKE LUCIEN DR STE 180",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517235",
            "telephone_number": "407-875-2080",
            "fax_number": "407-875-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CITRUS TOWER BLVD STE 330",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111945",
            "telephone_number": "352-241-4298",
            "fax_number": "352-241-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME88229",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "FL",
            "license": "ME88229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267627300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Lee Bogus, DDS
• Sheree Bolano
• Alexander Javier Bolanos, M.D.
• Catie L Bolin
• Matthew Paul Bommarito, DO
• Yolanda Bonefant, SLP-A
• Bonnie B Enterprises, Inc
• Davar Boodhoo
• Boogies Trucking LLC
• Evelisse Bookhout

• Dermatology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.