Pure Age Management, Llc

NPI 1245656263 - Internal Medicine - 207R00000X

NPI Details
NPI 1245656263
Enumeration Date 03/14/2014
Last Updated 03/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MICHAEL W MICHAEL
Position CO-OWNER
Phone (561) 847-4654
Fax
Practice Location
1015 GATEWAY BLVD
SUITE 401
BOYNTON BEACH FL, 33426-8347, US
Phone (561) 847-4654
Fax
Business Location
1015 GATEWAY BLVD
SUITE 401
BOYNTON BEACH FL, 33426-8347, US
Phone (561) 847-4654
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number OS9731
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According to our database, Pure Age Management, Llc NPI is 1245656263, taxonomy code is 207R00000X and license number is OS9731, license state is located at Florida. Pure Age Management, Llc physically located at 1015 Gateway Blvd, Boynton Beach FL, 33426-8347. NPI Number 1033115704 has the healthcare provider type.

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1245656263 NPI number is provided on an as is basis without warranty of any kind. 1245656263 is maintained by the National Plan & Provider Enumeration System. The contents of Pure Age Management, Llc are for informational purposes only.