HURRICANE PAIN CLINIC, LLC (NPI# 1043578511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043578511 |
Entity Type | Organization |
Organization Name | HURRICANE PAIN CLINIC, LLC |
Other Organization Name | COMMUNITY WELLNESS CENTER OF SW FLORIDA |
Practice Address |
391 Lee Blvd Suite 200 Lehigh Acres FL 33936-4973 |
Practice Telephone | 2393338618 |
Practice Fax Number | 2392770703 |
Mailing Telephone | 2393338618 |
Mailing Fax Number | 2392770703 |
Enumeration Date | 2012-05-02 |
Last Update Date | 2014-09-19 |
Authorized Official Name | BRIAN R RUSH (C.E.O. / OWNER) |
Authorized Official Telephone | 2393338618 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
HCC9047 | FL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Community Wellness Center of SW Florida | Doing Business As Name - Organization |
Street Address |
391 LEE BLVD SUITE 200 |
City | LEHIGH ACRES |
State | FL |
Zip Code | 33936-4973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689672602 | Personal Family Health Care | Family Medicine | 391 Lee Blvd, 400, Lehigh Acres, FL 33936-4973 | 2005-07-13 |
1588195754 | Toni Denise Sanchez | Nurse Practitioner | 391 Lee Blvd, #300, Lehigh Acres, FL 33936-4973 | 2017-03-21 |
1003288754 | Richard Burgess | Physician Assistant | 391 Lee Blvd, Suite 400, Lehigh Acres, FL 33936-4973 | 2015-10-21 |
1811204084 | Sunshine Chiro Center | Clinic/Center | 391 Lee Blvd, Suite 200, Lehigh Acres, FL 33936-4973 | 2010-09-08 |
1912108804 | Elmer Toro | Family Medicine | 391 Lee Blvd, 400, Lehigh Acres, FL 33936-4973 | 2007-05-30 |
1386740033 | Keys Cardiology Pa | Internal Medicine | 391 Lee Blvd, Suite 300, Lehigh Acres, FL 33936-4973 | 2006-09-16 |
1649231424 | William Webb Richardson | Internal Medicine | 391 Lee Blvd, Suite 300, Lehigh Acres, FL 33936-4973 | 2006-03-31 |
1821089715 | Reena S Kaul | Pediatrics | 391 Lee Blvd, Unit 200, Lehigh Acres, FL 33936-4973 | 2005-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
Find all providers in zip 33936 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
Find all providers with the same taxonomy |
City | LEHIGH ACRES |
Zip Code | 33936 |
Please comment or provide details below to improve the information on HURRICANE PAIN CLINIC, LLC.
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.