Organization
BOCA PAIN RELIEF CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK PASULA (PRESIDENT)
(561) 483-3900
Entity
Organization
Contact information
Practice address
20925 LYONS RD, BOCA RATON, FL 33428-1423
(561) 483-3900
Mailing address
20925 LYONS RD, BOCA RATON, FL 33428-1423
(561) 483-3900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH9028
FL
208D00000X
General Practice Physician
Primary
ME45620
FL
Other
Enumeration date
03/07/2012
Last updated
10/25/2012
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