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Jack Pasula Dc Pa
Health Service Clinic/Center in Boca Raton, Florida
NPI 1275780876

Jack Pasula Dc Pa is a Health Service Clinic/Center based in Boca Raton, FL and is specialized in Health Service. Jack Pasula Dc Pa practices in Boca Raton, FL. The NPI Number for Jack Pasula Dc Pa is 1275780876 and holds a License No. CH-9028 (Florida).

The current practice location address for Jack Pasula Dc Pa is 20925 Lyons Rd, Boca Raton, FL and can be reached out via phone at 561-483-3900 and via fax at 561-483-5554.

Location: 20925 Lyons Rd, Boca Raton, FL, 33428-1423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275780876
Provider Name
Jack Pasula Dc Pa
Credential
Provider Entity Type
Organization
Address
20925 Lyons Rd, Boca Raton, FL, 33428-1423
Phone Number
561-483-3900
Fax Number
561-483-5554
Provider Enumeration Date
08/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60758 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
20925 Lyons Rd
City
Boca Raton
State
Florida
Zip
33428-1423
Phone Number
561-483-3900
Fax Number
561-483-5554
person
Provider Business Mailing Address Details
Address
20925 Lyons Rd
City
Boca Raton
State
Florida
Zip
33428-1423
Phone Number
561-483-3900
Fax Number
561-483-5554
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
CH-9028 (Florida)
Definition
Definition to come...
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