# BOND CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOND CLINIC PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053943787
- **Legal business name:** BOND CLINIC PA
- **Authorized official:** JASON A MOERSCHBACHER (CFO)
- **Authorized official phone:** (863) 293-1191

## Contact information

- **Practice address:** 2039 E EDGEWOOD DR, LAKELAND, FL 33803-3601
- **Practice address phone:** (863) 293-1191
- **Mailing address:** 500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3094
- **Mailing address phone:** (863) 293-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2020
- **Last updated:** 02/11/2020