Healthcare Provider Details

I. General information

NPI: 1245196435
Provider Name (Legal Business Name): THE BOND CONSULTING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 RED RD
MIAMI FL
33155-2137
US

IV. Provider business mailing address

1714 RED RD
MIAMI FL
33155-2137
US

V. Phone/Fax

Practice location:
  • Phone: 786-261-6806
  • Fax: 786-429-0104
Mailing address:
  • Phone: 786-261-6806
  • Fax: 786-429-0104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WALDO HECHAVARRIA
Title or Position: MANAGER
Credential:
Phone: 786-261-6806