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Bold City Orthotics and Prosthetics, LLC — NPI 1992538276, Jacksonville, FL | NPI Central

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NPI 1992538276

OrganizationActive

Bold City Orthotics and Prosthetics, LLC

NPI 1992538276 · Prosthetic/Orthotic Supplier · Jacksonville, FL

Provider details

NPI number: 1992538276
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Organization subpart: No
Authorized official: Andrea Dean, Co-Owner, Orthotist(904) 686-8222

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000X
Suppliers

Practice location

9191 R G Skinner Pkwy Unit 701

Jacksonville, FL 32256-9662

Phone: (904) 686-8222

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

9191 R G Skinner Pkwy Unit 701

Jacksonville, FL 32256-9662

Other names (DBA / former)

Doing business as: Bold City Orthotics and Prosthetics
Doing business as: Bold City Orthotics and Prosthetics

Registry dates

Enumerated: 2024-08-22
Last updated: 2025-03-06
Certified: 2025-02-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.