Provider Demographics
NPI:1477825727
Name:PAIN RELIEF CENTER, P.A
Entity Type:Organization
Organization Name:PAIN RELIEF CENTER, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:HILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACACD
Authorized Official - Phone:239-597-3929
Mailing Address - Street 1:840 ANCHOR RODE DRIVE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103
Mailing Address - Country:US
Mailing Address - Phone:239-597-3929
Mailing Address - Fax:239-597-3348
Practice Address - Street 1:840 ANCHOR RODE DRIVE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103
Practice Address - Country:US
Practice Address - Phone:239-597-3929
Practice Address - Fax:239-597-3348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty