| Michael James Boully Jr, PT | |
|
1513 Sun City Center Plz, Sun City Center, FL 33573-5390 | |
| (813) 634-6022 | |
| (813) 634-6053 |
| Full Name | Michael James Boully Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1513 Sun City Center Plz, Sun City Center, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134249592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT18461 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael James Boully Jr, PT 6021 Rolling Vista Loop, Dover, FL 33527-4268 Ph: (813) 759-8761 | Michael James Boully Jr, PT 1513 Sun City Center Plz, Sun City Center, FL 33573-5390 Ph: (813) 634-6022 |
Mrs. Zaida Liz Coronado, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 139 S Pebble Beach Blvd, Suite 203, Sun City Center, FL 33573 Phone: 813-633-5768 | |
Zachary Snyder, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 231 Courtyard Blvd, Sun City Center, FL 33573 Phone: 813-633-2378 | |
Janice Ward, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 912 American Eagle Blvd, Sun City Center, FL 33573 Phone: 813-633-3066 | |
Sydney Kay Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 741 Cortaro Dr, Sun City Center, FL 33573 Phone: 813-773-7273 | |
Joseph Daniel Russell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 912 American Eagle Blvd, Sun City Center, FL 33573 Phone: 813-633-3066 | |
Rehab Axis Staffing And Management, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 255 Courtyard Blvd, Sun City Center, FL 33573 Phone: 813-633-2887 Fax: 813-864-2671 |