NPI Code Details Logo

NPI 1245113869

NPI 1245113869 : ADVENTHEALTH BOND CLINIC, INC. : WINTER HAVEN, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1245113869
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ADVENTHEALTH BOND CLINIC, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/30/2025
-----------------------------------------------------
    Last Update Date     |    07/30/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    325 1ST ST N 
-----------------------------------------------------
    City                 |    WINTER HAVEN
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33881-4111
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    863-293-1191
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14055 RIVEREDGE DR STE 250 
-----------------------------------------------------
    City                 |    TAMPA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33637-2141
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |     JAMES C PRESSWOOD 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    813-803-4059
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    335E00000X
-----------------------------------------------------
    Taxonomy Name        |    Prosthetic/Orthotic Supplier
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.