Provider Demographics
NPI:1295737906
Name:BOND, WENDY ROBINSON (MD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ROBINSON
Last Name:BOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:GAYLE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:18301 TELEGRAPH CREEK LN
Mailing Address - Street 2:
Mailing Address - City:ALVA
Mailing Address - State:FL
Mailing Address - Zip Code:33920-3141
Mailing Address - Country:US
Mailing Address - Phone:239-277-0200
Mailing Address - Fax:239-277-0020
Practice Address - Street 1:3033 WINKLER AVE UNIT 200
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-9524
Practice Address - Country:US
Practice Address - Phone:239-277-0200
Practice Address - Fax:239-277-0020
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME924472084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273483400Medicaid
FL273483400Medicaid
FL015588ZMedicare PIN
FL01588YMedicare PIN
FL01588XMedicare PIN
FL01588ZMedicare PIN