Organization
BOLD CITY THERAPY AND WELLNESS LLC
Active
Organization
BOLD CITY THERAPY AND WELLNESS LLC
Active
Organization subpart
Yes
Provider details
NPI number
Authorized official
CASEY MICHAEL MCNEILL PTA (OWNER)
(904) 551-0946
Entity
Organization
Contact information
Practice address
1605 KING STREET, JACKSONVILLE, FL 32204
(904) 551-0946
(904) 551-0974
Mailing address
1605 KING STREET, JACKSONVILLE, FL 32204
(904) 551-0946
(904) 551-0974
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA23708
FL
Other
Enumeration date
05/14/2018
Last updated
10/02/2023
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