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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