| Bond Clinic Pa | |
|
2039 E Edgewood Dr Lakeland FL 33803-3601 | |
| (863) 293-1191 | |
| Not Available |
| Full Name | Bond Clinic Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2039 E Edgewood Dr, Lakeland, Florida |
| Authorized Official Name and Position | Jason A Moerschbacher (CFO) |
| Authorized Official Contact | 8632931191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bond Clinic Pa 500 E Central Ave Winter Haven FL 33880-3094 Ph: (863) 293-1191 | Bond Clinic Pa 2039 E Edgewood Dr Lakeland FL 33803-3601 Ph: (863) 293-1191 |
| NPI Number | 1053943787 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Medicare PECOS PAC ID | 1355240722 |
|---|---|
| Medicare Enrollment ID | O20200311002071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053943787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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