Organization
HURRICANE PAIN CLINIC, LLC
Active
Organization
HURRICANE PAIN CLINIC, LLC
Active
Other names
Community Wellness Center of SW Florida
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R RUSH (C.E.O. / OWNER)
(239) 333-8618
Entity
Organization
Contact information
Practice address
391 LEE BLVD, SUITE 200, LEHIGH ACRES, FL 33936-4973
(239) 333-8618
(239) 277-0703
Mailing address
391 LEE BLVD, SUITE 200, LEHIGH ACRES, FL 33936-4973
(239) 333-8618
(239) 277-0703
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
HCC9047
FL
Other
Enumeration date
05/02/2012
Last updated
09/19/2014
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