| Pure Age Management, Llc | |
|
1015 Gateway Blvd Suite 401 Boynton Beach FL 33426-8347 | |
| (561) 847-4654 | |
| Not Available |
| Full Name | Pure Age Management, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1015 Gateway Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Michael W Gempel (CO-OWNER) |
| Authorized Official Contact | 5618474654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Age Management, Llc 1015 Gateway Blvd Suite 401 Boynton Beach FL 33426-8347 Ph: (561) 847-4654 | Pure Age Management, Llc 1015 Gateway Blvd Suite 401 Boynton Beach FL 33426-8347 Ph: (561) 847-4654 |
| NPI Number | 1245656263 |
|---|---|
| Provider Enumeration Date | 03/14/2014 |
| Last Update Date | 03/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245656263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS9731 (Florida) | Primary |
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