BOND CLINIC PA NPI 1053943787

NPI Information

  • NPI: 1053943787
  • Provider Name: BOND CLINIC PA
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 10D2167621
  • Address: 2039 E EDGEWOOD DR
    LAKELAND, FL
    ZIP 33803
  • Phone: (863) 293-1191

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NPI Details

BOND CLINIC PA is a multi-specialty clinic center in Lakeland, FL. BOND CLINIC PA NPI is 1053943787. The provider is registered as an organization entity type.

The provider's business location address is:

2039 E EDGEWOOD DR
LAKELAND, FL
ZIP 33803-601
Phone: (863) 293-1191

The provider's authorized official is Jason A Moerschbacher .
The authorized official title is Cfo and has the following contact phone number (863) 293-1191.

The CLIA number assigned to this NPI record is 10D2167621 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2020 and was last updated on 2/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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