Provider Demographics
NPI:1003417767
Name:PAIN & POSTURE CHIROPRACTIC RELIEF CENTER INC
Entity Type:Organization
Organization Name:PAIN & POSTURE CHIROPRACTIC RELIEF CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-655-7300
Mailing Address - Street 1:4233 NW 67TH TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3029
Mailing Address - Country:US
Mailing Address - Phone:954-655-7300
Mailing Address - Fax:
Practice Address - Street 1:4800 W HILLSBORO BLVD STE A11
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4370
Practice Address - Country:US
Practice Address - Phone:954-544-1424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-07
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty