Bond Clinic PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

606419 Issued in FL

Legal business name

BOND CLINIC PA

Practice address

3000 Woodmont Ave
Winter Haven, FL 33884-3800

Phone

(863) 293-1191

Fax

(863) 293-8035

NPI assigned

Mar 11, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

BOND CLINIC PAAs reported in NPPES

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

Addresses

Other names 1

• Bond & Steele Clinic PA Other name

Part of

Bond Clinic PA

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.

• Bond Clinic PA

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1881639193
  NPPES parent name

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1629439195",
    "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": "3000 WOODMONT AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843800",
            "telephone_number": "863-293-1191",
            "fax_number": "863-293-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND CLINIC PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOND CLINIC PA",
        "enumeration_date": "2016-03-11",
        "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": "606419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bond & Steele Clinic PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lena Rose Boccio, MA, CCC-SLP
• Victoria Bodaj, CRNA
• Henry Joseph Bohn, DNP, CRNA
• Rodrigo A Bolanos, MD
• Bond Clinic PA
• Bond Clinic PA
• Bond Clinic PA
• Bond Urgent Care LLC
• Christen Renae Bonyfield, RN
• James J. Booker IV, MD

• Durable Medical Equipment & Medical Supplies in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• 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.