Lara Beth Bond

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9583266 Issued in FL

Practice address

16964 Alico Mission Way Ste 200
Fort Myers, FL 33908-4845

Phone

(941) 201-2408

NPI assigned

May 26, 2026

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1669303020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 HARRY ST",
            "city": "BOKEELIA",
            "state": "FL",
            "postal_code": "339222702",
            "telephone_number": "716-622-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16964 ALICO MISSION WAY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084845",
            "telephone_number": "941-201-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "LARA",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95220541",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "540920-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9583266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn L Bolling, D. O
• Hooshang Michael Bolooki, MD
• Leah Danielle Bombassaro, PT, DPT
• Hilary Ford Bommarito, MD
• Amy Bonanno
• Wendy Robinson Bond, M.D.
• Bonett Medical Center Corp
• Bonett Rehab Center Inc
• Brett Matthew Bonham
• Alvaro Boniche, M.D.

• Adult Health Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.