| Organization Name: | HURRICANE PAIN CLINIC, LLC |
| NPI Number: | 1043578511 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN R RUSH (C.E.O. / OWNER) |
| Mailing Address: | 391 Lee Blvd Suite 200 Lehigh Acres |
| State: | FL US |
| Postal Code: | 339364973 |
| Phone Number: | 2393338618 |
| Fax Number: | 2392770703 |
| NPI Enumeration Date: | 05/02/2012 |
| NPI Last Update Date: | 09/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |