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Organization

BOND COMMUNITY HEALTH CENTER

Active
Parent organization
BOND COMMUNITY HEALTH CENTER
Other names
Bond Specialty and Wellness Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOND COMMUNITY HEALTH CENTER
Authorized official
JOHN M GRAYSON (CFO)
(850) 576-4073
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME76689
FL
207R00000X
Internal Medicine Physician
ME80809
FL

Other

Enumeration date
10/23/2012
Last updated
11/16/2016
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