Precious Bonding LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

PRECIOUS BONDING LLC

Practice address

5282 NE 64TH Ave
Silver Springs, FL 34488-1340

Phone

(352) 875-3194

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Conniqua Wollbright

Title

Owner

Phone

(352) 875-3194

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1821758145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 NE 64TH AVE",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344881340",
            "telephone_number": "352-875-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 NE 64TH AVE",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344881340",
            "telephone_number": "352-875-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS BONDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "WOLLBRIGHT",
        "authorized_official_first_name": "CONNIQUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-875-3194"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.