BOND CLINIC PA
NPI 1053943787
Clinic/Center - Multi-Specialty in Lakeland, FL

Active since February 11, 2020CLIA Certified · 8 labs
2039 E EDGEWOOD DR, LAKELAND, FL 33803(863) 293-1191 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bond Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOND CLINIC PA (NPI 1053943787) is a healthcare organization registered as a multi-specialty in Lakeland, Florida and active in the NPI registry since February 2020. The organization holds 8 active CLIA laboratory certificates and lists Jason A Moerschbacher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053943787
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBOND CLINIC PA
Location Address2039 E EDGEWOOD DRLakeland, FL 33803-3601
Mailing Address500 E Central AveWinter Haven, FL 33880-3094 · (863) 293-1191
Organization SubpartYes
Authorized OfficialJason A MoerschbacherCfo · (863) 293-1191
Enumeration DateFebruary 11, 2020
NPI 1053943787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2039 E EDGEWOOD DR, Lakeland, FL 33803

CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1054760

Bond Clinic Dr Eldeeb · Winter Haven, FL
Active · expires May 30, 2028
CLIA Number10D1054760
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorMohammad Eldeeb MD
Laboratory Phone(863) 293-1191
Laboratory LocationBond Clinic Dr Eldeeb500 E Central Ave, Winter Haven, FL 33880
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2164843

Bond Clinic, PA · Winter Haven, FL
Active · expires Apr 14, 2027
CLIA Number10D2164843
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorCathy Lynn Farrell
Laboratory Phone(863) 293-1191
Laboratory LocationBond Clinic, PA500 E Central Ave Ste 202-A, Winter Haven, FL 33880
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2275401

Bond Clinic, PA · Winter Haven, FL
Active · expires Jan 19, 2027
CLIA Number10D2275401
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorEduardo Torres
Laboratory Phone(863) 293-1191
Laboratory LocationBond Clinic, PA500 E Central Ave, Ste 207, Winter Haven, FL 33880
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2168938

Bond Clinic PA · Winter Haven, FL
Active · expires Jul 10, 2027
CLIA Number10D2168938
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorCarlos Gabriel
Laboratory Phone(863) 293-1191
Laboratory LocationBond Clinic PA199 Ave B NW - Suite 201-A, Winter Haven, FL 33881
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2167621

Bond Clinic PA · Davenport, FL
Active · expires Jun 11, 2027
CLIA Number10D2167621
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorArmando Doval
Laboratory Phone(863) 293-1191
Laboratory LocationBond Clinic PA410 Lionel Way Suite #2, Davenport, FL 33837
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1040530

Bond Clinic PA Pediatrics Dept · Winter Haven, FL
Active · expires May 10, 2027
CLIA Number10D1040530
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorKenny Nguyen MD
Laboratory Phone(863) 293-1191
Laboratory LocationBond Clinic PA Pediatrics Dept325 1st Street, North, Winter Haven, FL 33881
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
2039 E EDGEWOOD DR
LAKELAND, FL 33803
Family Medicine
2039 E EDGEWOOD DR, SUITE B
LAKELAND, FL 33803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bond Clinic PA's NPI number?

The NPI number for Bond Clinic PA is 1053943787. It was assigned to this organization in the NPPES registry on February 11, 2020.

Where is Bond Clinic PA located?

Bond Clinic PA is located at 2039 E Edgewood Dr, Lakeland, FL 33803. The listed phone number is (863) 293-1191.

What is Bond Clinic PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Bond Clinic PA hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bond Clinic PA was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.