PAUL BOND, LLC (NPI# 1093249724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093249724 |
| Entity Type | Organization |
| Organization Name | PAUL BOND, LLC |
| Other Organization Name | BESPOKE HEALTH |
| Practice Address |
704 E Moody Blvd Unit 957 Bunnell FL 32110-5922 |
| Mailing Address |
Po Box 957 Bunnell FL 32110-0957 |
| Practice Telephone | 3869866469 |
| Practice Fax Number | 3864376969 |
| Mailing Telephone | 3869866469 |
| Mailing Fax Number | 3864376969 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | MR. PAUL BOND (MANAGING MEMBER) |
| Authorized Official Telephone | 3869866469 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 2730962 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Bespoke Health | Doing Business As Name - Organization |
| Street Address |
704 E MOODY BLVD UNIT 957 |
| City | BUNNELL |
| State | FL |
| Zip Code | 32110-5922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669017349 | Ashley Jessica Harris | Nurse Practitioner | 2795 County Road 13, Bunnell, FL 32110 | 2019-11-17 |
| 1407321698 | Medical Risk Solutions | Family Medicine | 1769 E. Moody Blvd, Bunnell, FL 32110 | 2018-10-04 |
| 1518225408 | Christopher Manly Deck | Occupational Therapy Assistant | 5795 Chestnut Ave, Bunnell, FL 32110 | 2012-04-27 |
| 1588947337 | Flagler Mental Health Center, Pa | Community/Behavioral Health | 2729 E. Moody Blvd Ste 105, Bunnell, FL 32110 | 2011-09-27 |
| 1922273606 | Nancy Hutt Culver | Technician | 2384 County Rd 305, Bunnell, FL 32110 | 2008-04-24 |
| 1487772984 | Jennifer Lois Fraser | Dentist | 35 Caroline Street, Bunnell, FL 32110 | 2007-03-26 |
| 1750463154 | Jennifer L Thornton | Chiropractor | 4721 East Moody Blvd, Suite101, Bunnell, FL 32110 | 2006-10-19 |
| 1720175649 | Bunnell Medical Center Inc | Family Medicine | 700 E. Moody Blvd, Bunnell, FL 32110 | 2006-10-10 |
| 1245326990 | Patrick Gerald Reed | Chiropractor | 4601 East Highway 100, Suite G4, Bunnell, FL 32110 | 2006-10-04 |
| 1013000652 | Flagler Diagnostic & Sleeping Disorder, Inc, Inc | Clinic/Center | 4721 E. Moody Blvd Suite 104, Bunnell, FL 32110 | 2006-10-02 |
| Find all providers in zip 32110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669017349 | Ashley Jessica Harris | Nurse Practitioner | 2795 County Road 13, Bunnell, FL 32110 | 2019-11-17 |
| 1104080761 | Joella Cauley Hall | Nurse Practitioner | 3760 Pear Ave, Bunnell, FL 32110-4887 | 2008-07-14 |
| 1083606503 | Amy L. Coopersmith | Nurse Practitioner | 301 Dr Carter Blvd, Bunnell, FL 32110-6212 | 2005-08-19 |
| 1528588191 | Ap Resources | Nurse Practitioner | 601 N Anderson St, Bunnell, FL 32110-8006 | 2017-06-23 |
| 1932637543 | Lisa Jane Jimenez | Nurse Practitioner | 301 Dr Carter Blvd, Bunnell, FL 32110-6212 | 2017-05-25 |
| 1336515931 | J C Hall Arnp Pa | Nurse Practitioner | 3760 Pear Ave, Bunnell, FL 32110-4887 | 2015-08-18 |
| 1578991782 | Qwikcare Inc | Nurse Practitioner | 4721 E Moody Blvd, Suite 204, Bunnell, FL 32110-7705 | 2013-10-25 |
| 1588913792 | Betty Kachnycz | Nurse Practitioner | 301 Dr Carter Blvd, Bunnell, FL 32110-6212 | 2012-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.