MEDICARE: DAWN BOND

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
1	174N00000X	Lactation Consultant (Non-RN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1235606831	OTHER	FL	DOULA

General Provider Information

NPI Number	:	1447634860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN BOND

Provider Business Mailing Address
First Line	:	120 SW OCEAN BLVD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-2959
Country	:	US
Telephone Number	:	772-214-2824
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 CASSIA DR
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-3785
Country	:	US
Telephone Number	:	772-370-1672
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2015
Last Update Date	:	11/15/2022

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Directions to “ DAWN BOND ” Practice Location

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