Provider Demographics
NPI:1821266800
Name:FLORIDA PAIN & INJURY CENTERS
Entity Type:Organization
Organization Name:FLORIDA PAIN & INJURY CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:MERZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-966-8800
Mailing Address - Street 1:1825 FOREST HILL BLVD
Mailing Address - Street 2:SUITE #104
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-8902
Mailing Address - Country:US
Mailing Address - Phone:561-966-8800
Mailing Address - Fax:561-439-2300
Practice Address - Street 1:1825 FOREST HILL BLVD
Practice Address - Street 2:SUITE #104
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-8902
Practice Address - Country:US
Practice Address - Phone:561-966-8800
Practice Address - Fax:561-439-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty