Individual
LAURA BONDOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13947 BEACH BLVD STE 109, JACKSONVILLE, FL 32224-1201
(904) 996-6922
(904) 996-6923
Mailing address
13947 BEACH BLVD STE 109, JACKSONVILLE, FL 32224-1201
(904) 996-6922
(904) 996-6923
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA23828
FL
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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