NPI | 1407109812 |
---|---|
Doing Business As | BOND SPECIALTY AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JOHN M GRAYSON CFO 850-576-4073 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME76689) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME80809) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2016-11-16 |