JACK PASULA DC PA (NPI# 1275780876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275780876 |
| Entity Type | Organization |
| Organization Name | JACK PASULA DC PA |
| Other Organization Name | BOCA PAIN FREEDOM |
| Practice Address |
20925 Lyons Rd Boca Raton FL 33428-1423 |
| Practice Telephone | 5614833900 |
| Practice Fax Number | 5614835554 |
| Mailing Telephone | 5614833900 |
| Mailing Fax Number | 5614835554 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2009-02-20 |
| Authorized Official Name | DR. JACK PASULA (PRESIDENT) |
| Authorized Official Telephone | 5614833900 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CH-9028 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 60758 | 01 |
| Other Name | Type Code |
|---|---|
| BOCA PAIN FREEDOM | Doing Business As Name - Organization |
| Street Address |
20925 LYONS RD |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437423571 | Boca Pain Relief Center, Pllc | Chiropractor | 20925 Lyons Rd, Boca Raton, FL 33428-1423 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750885117 | Hmc Advisors LLC | Clinic/Center | 10582 E Key Dr, Boca Raton, FL 33498-4509 | 2018-03-21 |
| 1922500545 | Path Medical, LLC | Clinic/Center | 2900 N Military Trl Ste 120, Boca Raton, FL 33431-6347 | 2018-02-28 |
| 1649706342 | Campus Wellness Group | Clinic/Center | 2234 N Federal Hwy Ste 1100, Boca Raton, FL 33431-7710 | 2017-05-02 |
| 1780056671 | Boca Urgent Care | Clinic/Center | 7001 N Federal Hwy Ste 700, Boca Raton, FL 33487-1612 | 2015-10-30 |
| 1801225396 | New Health Innovations, Inc | Clinic/Center | 1377 W Palmetto Park Rd, Boca Raton, FL 33486-3314 | 2013-11-05 |
| 1598017725 | Sea Grape Medical Inc | Clinic/Center | 101 Se Mizner Blvd, Boca Raton, FL 33432-5007 | 2012-10-11 |
| 1932455318 | Pbi Medical | Clinic/Center | 1022 Jeffery St, Boca Raton, FL 33487-4183 | 2012-08-03 |
| 1679737977 | Injury and Rehab Specialists LLC | Clinic/Center | 21218 Saint Andrews Blvd, Suite 113, Boca Raton, FL 33433-2449 | 2008-07-15 |
| 1902010606 | Meiling Acupuncture & Herb Chinese Medical Center, Inc. | Clinic/Center | 24 Se 4th St, Boca Raton, FL 33432-6014 | 2007-05-10 |
| 1033732367 | Behavior Skills Training LLC | Clinic/Center | 433 Plaza Real Ste 275, Boca Raton, FL 33432-3999 | 2020-05-21 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
Please comment or provide details below to improve the information on JACK PASULA DC PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.