Provider Demographics
NPI:1710989967
Name:BOND, CATHERINE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:BOND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14730 COBRA WAY
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34669-1083
Mailing Address - Country:US
Mailing Address - Phone:727-246-3900
Mailing Address - Fax:727-246-3991
Practice Address - Street 1:14730 COBRA WAY
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34669-1083
Practice Address - Country:US
Practice Address - Phone:727-246-3900
Practice Address - Fax:727-246-3991
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1237022363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8695WMedicare PIN
FLE8695ZMedicare ID - Type Unspecified
FLE8695YMedicare PIN
FLP74403Medicare UPIN
FLE8695XMedicare PIN