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NPI Code Detail

MEDICARE: BOND COMMUNITY HEALTH CENTER, INC.

MEDICARE: BOND COMMUNITY HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianME88050FL
2208000000XPediatrics PhysicianME93798FL
3207Q00000XFamily Medicine PhysicianME76689FL
4363AM0700XMedical Physician AssistantPA9101781FL
5363LA2200XAdult Health Nurse PractitionerARNP3314182FL
6363LA2200XAdult Health Nurse PractitionerARNP3172982FL
7367A00000XAdvanced Practice MidwifeARNP1592962FL
8367A00000XAdvanced Practice MidwifeARNP1756862FL
9261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5105009OTHERFLHEALTHEASE FLORIDA
698705OTHERFLBLUE CROSS BLUE SHIELD/FL

General Provider Information

NPI Number : 1396718409
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOND COMMUNITY HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 1720 S GADSDEN ST
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-5506
Country : US
Telephone Number : 850-576-4073
Fax Number : 850-576-2859
Provider Business Practice Location Address
First Line : 1720 S GADSDEN ST
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-5506
Country : US
Telephone Number : 850-576-4073
Fax Number : 850-576-2859
Authorized Official
Title or Position : CFO
Name : MR. DANA SCHULTZ
Credential :
Telephone Number : 850-576-4073
Provider Enumeration Date : 02/09/2006
Last Update Date : 12/11/2025

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1942274477 — TEMPLE O. ROBINSON M.D.
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