Organization
BOLD HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YACOB HABBOUSH MD (OWNER)
(904) 881-4520
Entity
Organization
Contact information
Practice address
2802 PARENTAL HOME RD, JACKSONVILLE, FL 32216-5702
(904) 881-4520
Mailing address
7857 RITTENHOUSE LN, JACKSONVILLE, FL 32256-3631
(904) 881-4520
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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