# BOCA PAIN RELIEF CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437423571
- **Authorized official:** DR. JACK PASULA (PRESIDENT)
- **Authorized official phone:** (561) 483-3900

## Contact information

- **Practice address:** 20925 LYONS RD, BOCA RATON, FL 33428-1423
- **Practice address phone:** (561) 483-3900
- **Mailing address:** 20925 LYONS RD, BOCA RATON, FL 33428-1423
- **Mailing address phone:** (561) 483-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH9028 | FL | — |
| 208D00000X | General Practice Physician | ME45620 | FL | Yes |

## Other

- **Enumeration date:** 03/07/2012
- **Last updated:** 10/25/2012