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

Marc Boults

Individual provider Physical Therapist · NPI 1033416631

Marc Boults is a Physical Therapist in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011

Practice location Address checks out

602 Vonderburg Dr Ste 201
Brandon, FL 33511-5900
Phone: (863) 617-9400
Fax: (863) 688-9858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 26221 (FL)

Record details

NPI number1033416631
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 16, 2011
Last updated in NPPESApril 17, 2014
Mailing address602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900

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