Healthcare Provider Details

I. General information

NPI: 1396718409
Provider Name (Legal Business Name): BOND COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 S GADSDEN ST
TALLAHASSEE FL
32301-5506
US

IV. Provider business mailing address

1720 S GADSDEN ST
TALLAHASSEE FL
32301-5506
US

V. Phone/Fax

Practice location:
  • Phone: 850-576-4073
  • Fax: 850-576-2859
Mailing address:
  • Phone: 850-576-4073
  • Fax: 850-576-2859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME76689
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME88050
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME93798
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9101781
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP3314182
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP3172982
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP1592962
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP1756862
License Number StateFL

VIII. Authorized Official

Name: MR. DANA SCHULTZ
Title or Position: CFO
Credential:
Phone: 850-576-4073