Organization Active NPI

Boca Pain Relief Center, PLLC

  • General Practice Physician
  • Boca Raton, FL
National Provider Identifier
1437423571
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME45620 Issued in FL
Legal business name
BOCA PAIN RELIEF CENTER, PLLC
Practice address
20925 Lyons Rd
Boca Raton, FL 33428-1423
Phone
(561) 483-3900
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jack Pasula
Title
President
Phone
(561) 483-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH9028 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME45620 FL Primary

Addresses

Primary practice location

20925 Lyons Rd
Boca Raton, FL 33428-1423

Mailing address

20925 Lyons Rd
Boca Raton, FL 33428-1423
Phone (561) 483-3900

National Provider Directory

National Provider Directory

Locations

20925 Lyons Rd
Boca Raton, FL 33428
Phone (561) 482-9640

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1437423571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20925 LYONS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281423",
            "telephone_number": "561-483-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20925 LYONS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281423",
            "telephone_number": "561-483-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA PAIN RELIEF CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "PASULA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-483-3900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9028",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME45620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.