Organization · Type 2 NPI

Bond Community Health Center

Adult Medicine Physician · Tallahassee, FL

NPI number 1407109812 Active

Practice location

1549 South Monroe Street, Bond Speciality And Wellness
Tallahassee, FL 32301

Fax (850) 576-0151

Mailing address

1720 South Gadsden St, Bond Community Health Center
Tallahassee, FL 32301-5506

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XME76689 (FL)
Internal Medicine Physician 207R00000XME80809 (FL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1407109812

Bond Community Health Center's National Provider Identifier is 1407109812, issued on Oct 23, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tallahassee, FL. The record was last updated on Nov 16, 2016.