# BOND COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOND COMMUNITY HEALTH CENTER
- **Other names:** Bond Specialty and Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407109812
- **Legal business name:** BOND COMMUNITY HEALTH CENTER
- **Authorized official:** JOHN M GRAYSON (CFO)
- **Authorized official phone:** (850) 576-4073

## Contact information

- **Practice address:** 1549 SOUTH MONROE STREET, BOND SPECIALITY AND WELLNESS, TALLAHASSEE, FL 32301
- **Practice address phone:** (850) 576-4073
- **Practice address fax:** (850) 576-0151
- **Mailing address:** 1720 SOUTH GADSDEN ST, BOND COMMUNITY HEALTH CENTER, TALLAHASSEE, FL 32301-5506
- **Mailing address phone:** (850) 576-4073
- **Mailing address fax:** (850) 577-0675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | ME76689 | FL | Yes |
| 207R00000X | Internal Medicine Physician | ME80809 | FL | — |

## Other

- **Enumeration date:** 10/23/2012
- **Last updated:** 11/16/2016