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

Jerrell S Bostick, BS

Individual provider Case Manager/Care Coordinator · NPI 1003163858

Jerrell S Bostick, BS is a Case Manager/Care Coordinator in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2012
Specialties on file
3
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

504 Railway St
Daytona Beach, FL 32114-2654
Phone: (386) 679-8532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT135450 (TX)
Case Manager/Care Coordinator Taxonomy 171M00000X
Massage Therapist Taxonomy 225700000X · Licence MA79474 (FL)

Record details

NPI number1003163858
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorYes
NPI enumeratedAugust 11, 2012
Last updated in NPPESJanuary 13, 2024
Certification dateJanuary 13, 2024
Mailing address504 Railway St, Daytona Beach, FL 32114-2654

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