Individual
MICHAEL JAY BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 CITRUS TOWER BLVD STE 330, CLERMONT, FL 34711-1945
(352) 241-4298
(352) 241-7620
Mailing address
2600 LAKE LUCIEN DR STE 180, MAITLAND, FL 32751-7235
(407) 875-2080
(407) 875-0518
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME88229
FL
207NP0225X
Pediatric Dermatology Physician
ME88229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267627300
—
FL
Enumeration date
08/29/2006
Last updated
04/07/2008
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