Organization
BOND CLINIC PA
Active
Parent organization
BOND CLINIC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOND CLINIC PA
Authorized official
JASON A MOERSCHBACHER (CFO)
(863) 293-1191
Entity
Organization
Contact information
Practice address
2039 E EDGEWOOD DR, LAKELAND, FL 33803-3601
(863) 293-1191
Mailing address
500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3094
(863) 293-1191
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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