| Bond Specialty And Wellness Center | |
|
1549 South Monroe Street Bond Speciality And Wellness Tallahassee FL 32301 | |
| (850) 576-4073 | |
| (850) 576-0151 |
| Full Name | Bond Specialty And Wellness Center |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1549 South Monroe Street, Tallahassee, Florida |
| Authorized Official Name and Position | John M Grayson (CFO) |
| Authorized Official Contact | 8505764073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bond Specialty And Wellness Center 1720 South Gadsden St Bond Community Health Center Tallahassee FL 32301-5506 Ph: (850) 576-4073 | Bond Specialty And Wellness Center 1549 South Monroe Street Bond Speciality And Wellness Tallahassee FL 32301 Ph: (850) 576-4073 |
| NPI Number | 1407109812 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 11/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407109812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME76689 (Florida) | Primary |
| 207R00000X | Internal Medicine | ME80809 (Florida) | Secondary |
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