Provider Demographics
NPI:1205888989
Name:THOMAS, BOND WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:BOND
Middle Name:WILLIAM
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 16TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1033
Mailing Address - Country:US
Mailing Address - Phone:727-522-1900
Mailing Address - Fax:727-522-1933
Practice Address - Street 1:1210 16TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1033
Practice Address - Country:US
Practice Address - Phone:727-522-1900
Practice Address - Fax:727-522-1933
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH7771OtherLICENSE NUMBER
FL381997300Medicaid
FL204319886OtherTAX I
FL204319886OtherTAX I
FLU801400001Medicare UPIN
FL381997300Medicaid