Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bold City Orthotics and Prosthetics, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1992538276

Bold City Orthotics and Prosthetics, LLC is a Prosthetic/Orthotic Supplier in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7563 Philips Hwy Ste 204
Jacksonville, FL 32256-6838
Phone: (904) 686-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1992538276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Dean — Co-Owner, Orthotist · (904) 686-8222
Other names Bold City Orthotics And Prosthetics; Bold City Orthotics And Prosthetics
NPI enumeratedAugust 22, 2024
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address7563 Philips Hwy Ste 204, Jacksonville, FL 32256-6838

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